Epstein Index›Documents›EFTA00313986
⚡IMPACT LEVEL 3 — NOTEWORTHY

Epstein File EFTA00313986: Holder and Professional (DS9)

General DocumentDate unavailableEFTA003139861 keyword hits
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This document is a medical information release form authorizing the holder of medical or other information to release records to Social Security Administration and Health Care Financing Administration. The form indicates the subject understands they are responsible for professional services and grants permission for information disclosure to government agencies.

👤 Named in This Document
🔑 Evidence Keywords

📋 Key Excerpts2

PersonKeyword
Excerpt 1
I understand that his office will do their best to facilitate the processing of my claim, but that / am responsible for all **professional** services at the
Excerpt 2
I authorize any **holder** of medical or other information about me to release to the Social Security Administrative and Health Care Financing Administrations

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