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Womack Army Medical Center Medical Records/x Raw Image:/c269477b222b36eefc2a142e58fbedbd30356e7f504d669eeae7169283c59555/x Raw Image:/6d9805e54363ce9ef3be6a78b9caaeb8737e625850f358e0ddf3cbbd989c0b75
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MEDICAL RECORDS RELEASE Pa�ent Name: DOB: I authorize the following custodian/en�ty to release the requested Medical Recor
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