Document
AUTHORIZATION TO RELEASE MEDICAL REPORT TO PHYSICIAN
ICR 200704-0960-009 · OMB 0960-0751 · Object 3341601.
This document may belong to an older filing. More recent activity for OMB 0960-0751:
Document Viewer [doc]
Status: The document is viewable, but some background extraction is still pending.
Queue: Repair is in progress, but the document is still incomplete and remains in the worker queue. (priority 70 · next 2026-07-13 18:26:28)
Missing: html
Download: Source copy (doc)
Loading document viewer…
Document Metadata
| File Type | application/msword |
|---|---|
| File Title | AUTHORIZATION TO RELEASE MEDICAL REPORT TO PHYSICIAN |
| Author | Joseph Karevy 6-1483 |
| Last Modified By | 177717 |
| File Modified | 2007-05-30 |
| File Created | 2007-02-02 |
| Conversion State | partial |