Authorization to Release Medical ... - Adventist Health

Authorization to Release Medical Info Adventist Health. AUTHORIZATION TO. RELEASE MEDICAL INFORMATION, ENG. 8707F86-0623-8 – 10/2017. Page 1 of 2 PATIENT LABEL *112* Authorization to Release Medical Info Adventist Health Central Valley Network . AUTHORIZATION TO RELEASE. MEDICAL INFORMATION, ENG. 8707F86-0623-8 – 1/2017. Page 1 of 1 PATIENT ... ................
................