Urgent Care Release Form
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This form can be used to release lab results,. Register and log in to your account. Sign it in a few clicks draw your signature, type it, upload its image, or use your mobile device as a signature pad. This form is to be used by a patient or legal representative to authorize the release of information to a third.
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Web • For Urgent Care Claims, If Additional Information Is Needed, You Must Be Notified Within 24 Hours, And Have At Least 48 Hours To Respond.
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