Gyncare
  • About us
  • Medical Records
  • Forms
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  • About us
  • Medical Records
  • Forms
  • Location
Authorization Form

Please, print, fill-out and email it to gyncarefax@gmail.com.

Favor imprimir y completar esta forma y enviarla por correo electrónico a gyncarefax@gmail.com.

Authorization to Release Health Information Form

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