Authorization for Release of Medical Information


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Signature Certificate
Document name: Authorization for Release of Medical Information
lock iconUnique Document ID: fb1f64a34b28a5140804ac9fa27b9b79a63bdf67
Timestamp Audit
March 1, 2024 6:44 pm EDTAuthorization for Release of Medical Information Uploaded by Medical Marijuana Treatment Clinics of Florida - records@mmtclinics.com IP 68.204.70.116