Authorization to Furnish / Release Information (EA-208)

Department of Social Services

This government document is issued by Department of Social Services for use in South Dakota

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File Details: DOCX
Downloads: 75
Source
https://dss.sd.gov/formsandpubs/docs/MEDELGBLTY/208AuthorizationReleaseInformation.docx
Tags
  • Medical Eligiblity

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