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Authorization For Disclosure Of Medical Information
OMB 3207-0003
OMB.report
PANAMA
OMB 3207-0003
OMB 3207-0003
Latest Forms, Documents, and Supporting Material
Document
Name
AUTHORIZATION FOR DISCLOSURE OF MEDICAL INFORMATION
Form
All Historical Document Collections
198502-3207-003
Approved without change
Reinstatement with change of a previously approved collection
1985-02-25
198201-3207-002
Approved without change
New collection (Request for a new OMB Control Number)
1982-01-08
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