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(and )Tj
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[(Genetic )11.5 (Testing )]TJ
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(the )Tj
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(name )Tj
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(individual\(s\) )Tj
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(. )Tj
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(appropriate )Tj
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(list )Tj
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(here)Tj
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(you )Tj
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(up )Tj
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[(check )1.5 (the )]TJ
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(fill )Tj
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(pick )Tj
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(\(d\))Tj
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(and )Tj
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(adding )Tj
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(phone )Tj
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(numbers )Tj
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(either )Tj
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(or )Tj
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(second )Tj
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(party)Tj
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(. )Tj
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(: )Tj
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(request )Tj
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(")Tj
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(x)Tj
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(" )Tj
EMC
0.059 g
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(At )Tj
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(request )Tj
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(a )Tj
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(individual )Tj
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(or )Tj
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(Other)Tj
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(. )Tj
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0.0132 Tc -43.27 -1.18 Td
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(would )Tj
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(of )Tj
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(care)Tj
0.243 g
0 Tc 2.035 0 Td
(, )Tj
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0.0089 Tc 0.543 0 Td
(pending )Tj
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(transfer )Tj
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(to )Tj
0.0217 Tc 1.174 0 Td
(another )Tj
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(facility)Tj
0.243 g
0 Tc 2.937 0 Td
(, )Tj
0.059 g
0.0217 Tc 0.553 0 Td
(or )Tj
0.0049 Tc 1.222 0 Td
(second )Tj
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(opinion)Tj
0.416 g
0 Tc 3.293 0 Td
(. )Tj
0.059 g
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(For )Tj
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(number )Tj
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(7: )Tj
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(event )Tj
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(the )Tj
0.013 Tc 1.733 0 Td
(authorization )Tj
0.0116 Tc 6.248 0 Td
(expires )Tj
0.133 g
-0.0343 Tc 3.632 0 Td
(in )Tj
0.059 g
-0.0018 Tc 1.118 0 Td
(line )Tj
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(provided )Tj
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(unless )Tj
0.0019 Tc 3.269 0 Td
(patient )Tj
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(wishes )Tj
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(to )Tj
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(keep )Tj
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(the )Tj
0.0078 Tc 1.745 0 Td
(release )Tj
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(good )Tj
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(for )Tj
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(a )Tj
0.0231 Tc (year )Tj
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(from )Tj
0.0023 Tc 2.377 0 Td
(the )Tj
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(date )Tj
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(it )Tj
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(was )Tj
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(signed)Tj
0.243 g
0 Tc 3.065 0 Td
(. )Tj
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0.0058 Tc -32.153 -1.2 Td
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(complete )Tj
0.0023 Tc 4.434 0 Td
(the )Tj
0.009 Tc 1.745 0 Td
(request )Tj
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(patient )Tj
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(or )Tj
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(requester )Tj
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(must )Tj
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(sign )Tj
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(and )Tj
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(date )Tj
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(to )Tj
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(be )Tj
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(processed. )Tj
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(All )Tj
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(forms )Tj
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(upon )Tj
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[(completion )-75.8 (should )]TJ
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(be )Tj
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(returned )Tj
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(to )Tj
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(the )Tj
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(Health )Tj
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(Information )Tj
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(Management )Tj
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(Department. )Tj
-0.0026 Tc 6.305 0 Td
(If )Tj
0.0083 Tc 0.788 0 Td
(this )Tj
0.133 g
-0.035 Tc 11.1327 0 0 11.6 532.58 100.2 Tm
(is )Tj
0.059 g
0 Tc 11.6 0 0 11.6 544.2 100.2 Tm
(a )Tj
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(STAT )Tj
0.133 g
0.0021 Tc -42.978 -1.179 Td
(request)Tj
0.243 g
0 Tc 3.409 0 Td
(, )Tj
0.059 g
0.0132 Tc 0.518 0 Td
(for )Tj
0 Tc 1.503 0 Td
(a )Tj
0.0088 Tc 0.86 0 Td
(patient )Tj
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(that )Tj
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(is )Tj
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(being )Tj
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(transferred)Tj
0.322 g
0 Tc 5.05 0 Td
(, )Tj
0.059 g
0.0089 Tc 0.564 0 Td
(please )Tj
0.0108 Tc 3.31 0 Td
(bring )Tj
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(the )Tj
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(chart )Tj
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(to )Tj
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(Correspondence )Tj
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(if )Tj
0.059 g
0.0078 Tc 0.743 0 Td
(we )Tj
-0.0037 Tc 1.637 0 Td
(need )Tj
0.133 g
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(it )Tj
0.059 g
-0.0187 Tc -45.44 -1.221 Td
(to )Tj
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(copy )Tj
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(for )Tj
0.0127 Tc 1.487 0 Td
(the )Tj
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(release)Tj
0.243 g
0 Tc 3.409 0 Td
(, )Tj
0.059 g
0.0217 Tc 0.553 0 Td
(or )Tj
0.0021 Tc 1.166 0 Td
(fax )Tj
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(the )Tj
0.0078 Tc 1.745 0 Td
(release )Tj
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(and )Tj
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(call )Tj
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(to )Tj
0.014 Tc 1.174 0 Td
(ensure )Tj
0.0127 Tc 3.44 0 Td
(that )Tj
0.133 g
-0.0243 Tc 2.075 0 Td
(it )Tj
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(is )Tj
0.059 g
0.0124 Tc 11.6 0 0 11.6 418.91 72.36 Tm
(completed )Tj
0.0174 Tc 5.034 0 Td
(timely)Tj
0.322 g
0 Tc 2.751 0 Td
(. )Tj
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0.008 Tc -39.091 -1.2 Td
(Correspondence )Tj
-0.0065 Tc 7.793 0 Td
(will )Tj
0.0105 Tc 1.741 0 Td
(notify )Tj
0.0127 Tc 2.745 0 Td
(the )Tj
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(floor )Tj
0.133 g
0.0171 Tc 2.362 0 Td
(if )Tj
0.059 g
0.0125 Tc 0.762 0 Td
(fax )Tj
0.0038 Tc 1.676 0 Td
(fails )Tj
-0.0187 Tc 2.149 0 Td
(to )Tj
0.0015 Tc 1.176 0 Td
(send)Tj
0.416 g
0 Tc 2.258 0 Td
(. )Tj
0.059 g
-0.0152 Tc 9.5 0 0 9.5 498.5 37.33 Tm
(ROI )Tj
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