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ACADEMIC RELEASE OF INFORMATION (File: ACADEMIC AUTHORIZATION.pdf)
Date Posted: 08/10/18

AUTHORIZATION FOR RELEASE OF EMPLOYMENT INFORMATION (File: AUTH FOR RELEASE OF EMPLOYMENT INFO.pdf)
Date Posted: 10/08/18

BEAUMONT AUTHORIZATION (File: BEAUMONT AUTHORIZATION.pdf)
Date Posted: 08/10/18

BLUE CROSS BLUE SHIELD AUTHORIZATION (File: BLUE CROSS BLUE SHIELD AUTHORIZATION.pdf)
Date Posted: 08/10/18

CLEVELAND CLINIC AUTHORIZATION (File: CLEVELAND CLINIC AUTHORIZATION.pdf)
Date Posted: 08/10/18

CVS PHARMACY (File: CVS PHARMACY.pdf)
Date Posted: 08/10/18

DEPT OF VETERANS AFFAIRS AUTHORIZATION (File: DEPT VETERAN AFFAIRS FORM 21-0845 & 21-4138.pdf)
Date Posted: 10/11/18

DETROIT MEDICAL CENTER AUTHORIZATION (File: DETROIT MEDICAL CENTER AUTHORIZATION.pdf)
Date Posted: 08/10/18

GENERAL RELEASE (File: GENERAL RELEASE.pdf)
Date Posted: 08/31/15

GENESYS REGIONAL MEDICAL CENTER AUTHORIZATION (File: GENESYS AUTHORIZATION.pdf)
Date Posted: 08/16/18

HEALTH ALLIANCE PLAN AUTHORIZATION (File: HAP AUTHORIZATION.pdf)
Date Posted: 08/16/18

HENRY FORD HEALTH SYSTEM AUTHORIZATION (File: HENRY FORD HEALTH SYSTEM AUTHORIZATION.pdf)
Date Posted: 08/10/18

IRS 4506 - COPY OF TAX RETURNS (File: IRS 4506 - COPY OF TAX RETURN.pdf)
Date Posted: 08/10/18

IRS 4506T - TRANSCRIPT OF TAX RETURNS (File: IRS 4506-T TRANSCRIPT OF TAX RETURNS.pdf)
Date Posted: 08/10/18

KROGER AUTHORIZATION (File: KROGER AUTHORIZATION.pdf)
Date Posted: 08/16/18

MAYO CLINIC AUTHORIZATION (File: MAYO CLINIC AUTHORIZATION.pdf)
Date Posted: 08/10/18

McLAREN AUTHORIZATION (File: McLAREN HEALTHCARE.pdf)
Date Posted: 08/10/18

MEDICAL RECORDS RELEASE FORM (File: AUTH FOR RELEASE OF MEDICAL RECORDS.pdf)
Date Posted: 07/19/18

MEDICARE AUTHORIZATION (File: MEDICARE AUTHORIZATION.pdf)
Date Posted: 09/19/18

MERIDIAN HEALTH AUTHORIZATION (File: MERIDAN HEALTH AUTHORIZATION.pdf)
Date Posted: 08/16/18

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