AUTHORIZATION FOR DISCLOSURE OF MEDICAL OR DENTAL INFORMATION

AF-ASU-10th Medgroup-Academy

This government document is issued by AF-ASU-10th Medgroup-Academy for use in District of Columbia

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File Details: PDF (56.7 KB)
Source
https://airforceacademy.tricare.mil/Portals/1/Documents/DD2870_Authorization%20for%20Disclosure%20of%20Medical%20Info.pdf

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