Re: <name of employee whose records are being sought> Date of Birth: <date of birth of employee> Social Security Number: <social security number> To: <registrar name> <I/We> hereby authorize <name of party or parties to acquire employment records> or their agent or representative, to inspect, review and make copies, including photostatic copies, of all records […]
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1234, Main Street Boston, MA 02123 05 April, 2005 <Recipient Address Goes Here> Hello, Re: <name of patient whose records are being sought> Date of Birth: <date of birth of patient> Social Security Number: <social security number> To: <name of doctor or hospital> I hereby authorize <name of party or parties to acquire medical records> […]
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Re: <name of patient whose records are being sought> Date of Birth: <date of birth of patient> Social Security Number: <social security number> To: <name of doctor or hospital> I hereby authorize <name of party or parties to acquire medical records> or their agent or representative, to inspect, review, and make copies, including photostatic copies, […]
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Re: <name of employee whose records are being sought> Date of Birth: <date of birth of employee> Social Security Number: <social security number> To: <personnel director or office manager> <name of company> I hereby authorize <name of party or parties to acquire employment records> or their agent or representative to inspect, review and make copies, […]
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