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Authorization for Release of Protected Health

www.upmc.com

Authorization for Release of Protected Health Information I authorize the following UPMC Facility(s): cPresbyterian/Montefiorec Shadyside c South Side cPassavant (McCandless)c Passavant (Cranberry)c McKeesport

  Health, Information, Release, Authorization, Protected, Authorization for release of protected health, Authorization for release of protected health information, Shadyside

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