The town therefore became an important trading post on the Transalpine Augsburg-Venice route over the Brenner Pass, elevation 1,371 metres (4,498ft) above sea level, within the Holy Roman Empire. Subsequently, Italian troops entered Tyrol and occupied the Austrian areas south of the Brenner Pass. In the late-12th century, the bishop founded a market town, along the Lauben thoroughfare. The park offers peace and relaxation, along with plenty of benches for reflection and rest. The college was named after the Regent of the Austrian County of Tyrol, Claudia de Medici. The Health Information Services department at MUSC Medical Center fulfills requests for information for MUSC medical records and billing for all inpatient, outpatient, and clinical services affiliated with MUSC Health, including Charleston Memorial Hospital and Institute of Psychiatry visits. Bolzano railway station, opened in 1859, forms part of the Brenner railway (VeronaInnsbruck), which is part of the main railway route between Italy and Germany. You can expect to receive your medical records no later than 30 days after your request has been received. Winds W at 10 to 20 mph. Refresh the application. This table shows the mayors of the city of Bolzano after 1945. is the oldest medical school in the South. You can take time to reflect on the beauty of the world, while windchimes softly sound as they dance from an old oak tree. You need to remember the answers to the security questions you choose in order to self-reset your password. Campuses of the California State Colleges; About the University Toggle About the Graduate You can hear the songs of chirping birds, as you take in deep breaths of fresh air. Develop and maintain up-to-date end-user training manuals and materials. Welcome to the MUSC Identity Management System! Teatro Cristallo, is located outside the center in Dalmatienstreet. When Italy abandoned the Triple Alliance (1882), the Entente offered her territorial promises in Tyrol and Istria. 1 Archives and historical library; 15 Interlibrary loan and document delivery; 1 MUSC Library Building; 9 MUSC Resources; 1 Policy; 1 Printing, scanning, etc. Located adjacent to University Hospital, the institutes downtown campus encompasses seven floors of clinical, research, and academic space totaling over 46,000 square feet, of which over 12,000 is directly committed to eye research. tcorwin@postandcourier.com, Coroner identifies MUSC employee killed in electrical accident at research building, SC woman charged in fatal collision with golf cart carrying wedding party on Folly Beach, North Charleston approves $6M purchase of 400 acres for urban park. Any employee who does not register to receive his or her W-2 form online will receive a printed copy via the U.S. [36] In 2018, the research facility will lead the terraXcube in the NOI Techpark Bolzano. Construction of the institute began in 1974 along Ashley Avenue in the downtown medical district. "Das Polizeidurchgangslager Bozen". 805 Pamplico Hwy. One monument, one city, two dictatorships, "Siegesdenkmal: eine Dokumentations-Ausstellung", "Rmerzeitliche Fundstelle im Grieserhof als Museum zugnglich", Bolzano citt della bicicletta (Bolzano as a cyclist's town), Soi and Kibet at the double? This unique system was admired by the Dalai Lama, who visited the city on several occasions to study a possible application in Tibet. Teatro Cinema Rainerum; at the Rainerum Institute in the Don Bosco district there is a theater for about 400 people. The phone number is (803) 713-6232; Fax number is (803)713-6600 or (803) 713-6327. [28] A fresh round of negotiations took place in 1961 but proved unsuccessful, partly because of the campaign of terrorism by South Tyrolean Liberation Committee a secessionist movement against Italian police and electric power structures (one notable incident being the Night of Fire on 12 June 1961). Under general supervision, the Registered Nurse II provides individualized, goal-directed patient care to families and patients at the proficient level utilizing the principles and practices of the nursing process; delivers Job Description Summary Located adjacent to University Hospital, the institute's downtown campus encompasses seven floors of clinical, research, and academic space totaling over 46,000 square feet, of which over 12,000 is directly . Instead of going through the complicated process of requesting your MUSC medical records on your own, DoNotPay can help simplify the process. File all personnel and payroll documents according to established guidelines. The Organization for Applied Research seeks to help small and medium-sized enterprises in the region through charitable research. You can find the building adjacent to the MUSC's trauma center on Jonathan Lucas Street in Charleston, SC. Responsible for maintaining the Employee Self Service site. Imagine the smell of freshly bloomed flowers, and the feel of a cool breeze on a warm day. The company was founded in 2009 and since then specializes in areas such as "Automation and Mechatronic Engineering" and "Process Engineering in Construction". A Short Introduction", "Der Weg zur Streitbeilegungserklrung zwischen sterreich und Italien von 1992", "Dalai Lama erhielt Sdtiroler Minderheitenpreis", BZ '18'45. You can change your settings by clicking on the Settings link on the top right of the device. If you have not set your security questions, or have forgotten them as well, you must you go to one of the following locations: Medical Center Security Desk, 1st floor lobby North Tower (Sat-Sun, 24 hrs. You have permission to edit this article. Are you a current employee or contractor at MUSC? The issue was resolved in 1971, when a new statute of autonomy for the smaller, majority German-speaking province Bozen Sdtirol/Bolzano Alto Adige, which was supported by the German-speaking population of South Tyrol, was granted by Italy. The university is engaged in a multitude of scientific and technological areas, in addition to different disciplines belonging to Humanities. dog off leash ticket california; Income Tax. [49], The town is host to an annual road running competition the BOclassic which features an elite men's 10K and women's 5K races. MUSC received the gift in 1967 upon the death of Mrs. Albert Florens Storm at 95 years old. Continuing Medical Education (CME) CoursEval (login required) Crime Statistics (MUSC Public Safety) Crime Victims Research & Treatment Center. Performances are presented in German and Italian. 39 0 obj <>/Filter/FlateDecode/ID[]/Index[19 52]/Info 18 0 R/Length 104/Prev 123470/Root 20 0 R/Size 71/Type/XRef/W[1 3 1]>>stream The main focuses of dining and leisure time, sports, agriculture, and specific Alpine industries attract an annual total of over 3,000 exhibitors and over 230,000 visitors from all over Europe.[34]. To request your medical records by mail, you need to print the Authorization to Release Protected Health Information Form and mail it with a copy of your legal identification, such as a driver's license to: To request your MUSC medical records by Fax, you need to fax the Authorization to Release Protected Health Information Form and a copy of your legal identification, such as a driver's license. MUSC is the state's only comprehensive health care system, offering career options at university hospitals, research facilities, clinics, or patient care sites. 600-bed medical center, which includes a nationally recognized educates and trains more than 3,000 students and residents, and has nearly 10,000 Charleston, SC 29407. Through the Euroregion Tyrol-South Tyrol-Trentino, the university also works closely together with the universities of Innsbruck and Trento. is used as a settlement area. To get your electronic health records, email your completed authorization forms. Founded in 1824 in Charleston, The Medical University of South Carolina Accuracy is a must. Among the major monuments and sights are: For more historical and geographical information see South Tyrol. MUSC operates a For technical assistance, contact CCIT Help Desk at 792-9700. Luckily, DoNotPay can request the medical records to be transferred to MUSC Health on your behalf, saving you from the hassle. Provide general office support to include: receiving, directing and relaying telephone message to the appropriate staff member, triaging of the HR Email box. Bolzano Civic Theatre - Stadttheater Bozen; the new city theater was opened in 1999 according to the plans of the architect. [22] After the Congress of Vienna (1814-15) Bolzano returned to the County of Tyrol, within the Austrian Empire and subsequently the Dual Monarchy of Austria-Hungary in 1867. It is a festival that shows different dance performances in different places of the city. The establishment of an official trade organisation strengthened Bolzano as a cultural crossroad in the Alps.[21]. Prior to the annexation of South Tyrol to Italy (Treaty of Saint-Germain-en-Laye, 1919) a small Italophone community of up to 10% of the population already lived in Bolzano.[12]. Establish and maintain up-to-date HRIS functional departmental documentation, standard operating process and procedures. The research has focused more on the Alpine region. An additional focus of the small theater is the topic of "women in and at the theater". Follow these steps: Apart from helping you get your MUSC medical records, DoNotPay can also help you get medical records from other hospitals such as Kaiser, Cleveland Clinic, Baptist, and Mercy. During this time the area became part of the region Venetia et Histria (Regio X) of ancient Italy. The additional space added four more floors to the physical plant, including two floors dedicated to research and another to the administrative and teaching area, including a state-of-the-art auditorium. The MUSC Quality Improvement (QI) Self-Certification tool (login required) allows study teams to make the decision about whether their project constitutes the definition of research under the Common Rule (45 CFR 46) independent of the IRB. This concept that NOI Techpark is based on, where research institutes, companies and start-ups from South Tyrol and all over the globe will work together to prepare the ground for a sustainable development. One to two years of HR or HRIS experience required. The name reflects two meanings in South Tyrol: depending on how you want to pronounce it, NOI can either sound like the Italian word for "we" or the South Tyrolean dialect word for "new". , Post and Courier, an Evening Post Publishing Newspaper Group. Refresh names in system. information on academic information or clinical services, visit ), Library Systems Office, 4th floor Education Center/Library (Mon-Fri, 8am-5pm), OCIO Information Services, 2nd floor Harborview Office Tower (Mon-Fri, 8:30am-5pm). : Northeastern Railroads Wilmington Depot, The Post and Courier ), you will be charged $0.65 per page for up to 30 pages and $0.50 per page after that. Timekeepers and business managers will be able to view the ID numbers of their staff via the employee directory database. For login assistance, please call 843-792-9700. Please log in to OurDay with your NetID. South Carolina Occupational Safety and Health Administration, which usually investigates workplace fatalities, did not respond to a call Oct. 3 seeking comment, nor did the Charleston Coroner's Office. If you click on "I Do Not Accept", then we will not use cookies but you may have a deteriorated user experience. Please try the recommended action below. It resulted in a considerable level of self-government,[29] also due to the large financial resources of South Tyrol, which retains almost 90% of all levied taxes. The stands are located in different places of the old town. trey parker house kauai; mccormick and schmick's prosecco sangria recipe; katherine bouris wife; Payroll Services The research performed at this center is the driving force behind delivering medical advances to patients and their families. Annette of Menz (17961869), in 1811 she was the richest heiress in Bolzano, Karl Theodor Hoeniger (18811970), author and cultural historian, Christian Hess (18951944), painter and sculptor, This page was last edited on 16 April 2023, at 10:24. CHARLESTON -- To provide additional security for personal information maintained by MUSC, an identification number will replace Social Security numbers (SSN) for all existing MUSC employees, volunteers, contractors and long term visitors. As of 1910, 29,000 inhabitants identified themselves as German speakers and only 1,300 as Italian speakers, these latter ones mainly from the Italian speaking areas of Tyrol, namely Welschtirol, currently known as Trentino. By itself, the number will not provide access to a staff members personal information should someone else acquire it. Bailey: The Ladson Solution: Harvard professor warns the end is near for Charleston, Charleston attorney Joe Rice's Kentucky Derby horse, and 'goosebumps', Charleston to revisit its tourism signage ordinance after recent complaint, Shooters fired randomly into 'flash party' at Columbia park, injuring 11, sheriff says, New restaurant coming this summer to former home of The Whitney in downtown Aiken, Charleston County to spend opioid settlement money on data dashboard, more Narcan. Air pressure, humidity and solar radiation can be simulated and changed simultaneously in one room. The aim is to investigate how humans react to extreme climatic conditions. 148 Williman Street Stadttheater Gries (City theater Gries), located in the district of Gries-Quirein and can accommodate 371 people. Must be able to perform duties with limited supervision. College of Pharmacy. The MUSC Storm Eye Institute has been a leading center for the management of complex and serious eye diseases for over 40 years. MUSC medical records fax numbers are: You can also request MUSC medical records in person by visiting the Health Information Services office at the Main Hospital downtown and bringing a legal identification like a driver's license with you. About. The College is also home to a robust basic, clinical and translational research enterprise, with more than $250 million in extramural research funding awarded in the last year. In case you forget your password, you will be able to change it by yourself without having to visit a password reset location. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need. Sign in. The phone number is (803) 713-6232; Fax number is (803)713-6600 or (803) 713-6327. After the dissolution of the Holy Roman Empire in 1806, Bolzano became briefly part of the Napoleonic Kingdom of Italy and was incorporated into the Department of Alto Adige. The center is located at an altitude of 262 metres (860') above sea level. Primary supporter of the Intranet updates using SiteCore. The ID number will be assigned for the duration of an employees career and will be utilized for payroll, Human Resources forms where possible, parking management and most internal reporting. You'll need to include the following information when filling out your medical transfer form: Your name and any other names under which your records may be filed Contact information (address, email, phone number) Postal Service. Department Of Equity, Diversity, & Inclusion, MUSC Campus Blood Borne Pathogen Exposure Protocol, MUSC Dental Students Blood Borne Pathogen Exposure Protocol, Non MUSC Off Campus Clinical Site Blood Borne Pathogen Protocol Exposure Protocol. Working with representatives from South Tyrol's business and research communities, BLS and TIS innovation park have developed the park's "Nature of Innovation" positioning title, the initials of which give the park its name: NOI. The remaining walls indicate a former temple complex and a building with a pillared hall. The University of Bolzano has the following five faculties: The State College of Health Professions "Claudiana" was founded in 1993 and has since 2006 its headquarters next to the regional hospital of Bolzano outside the center. The employee's name and information were redacted from the report. Teaching is in Italian and German. Since 2011, the city hosts the Italo-Germanic Business Forum, which brings together the leaders of the Italian and German economies Confindustria and the Bundesverband der Deutschen Industrie in the Mercantile Palace to address issues related to the international crisis. Founded in 1824, the MUSC College of Medicine was the first medical school in the southern United States, and the tenth medical school in the country. In 2009 the Italian manufacturer Leitner replaced the old cable car with a new modern 3S system. Seek out new opportunities to promote HR functionality using intranet. Films in Italian and German are shown. The city is located in the basin where the Sarntal, Eisacktal, and the Adige Valley with their rivers, Talfer, Eisack, and Adige, meet.In the Middle Ages, the two main Alpine crossings, the Via Claudia Augusta over Reschenpass and the Brenner route over Brenner Pass . Department Of Equity, Diversity, & Inclusion, MUSC Campus Blood Borne Pathogen Exposure Protocol, MUSC Dental Students Blood Borne Pathogen Exposure Protocol, Non MUSC Off Campus Clinical Site Blood Borne Pathogen Protocol Exposure Protocol, The MUSC College of Medicines deans office, The MUSC College of Medicines clinical departments and faculty, South Carolina Translational and Research Institute offices. During those four years, Sherrier had a lot of success in the pool, graduating with eight school records. After Italy declared war on Austria-Hungary on May 24, 1915, heavy fighting took place all along Tyrol's southern border for the entire duration of the conflict. This is MUSCs Horseshoe, often call the front lawn of the University. NOI Techpark is on a 12-hectare (30 acre) site in the south of Bolzano, on premises formerly home to aluminium works. Being located at multiple climate borders, Bolzano features a humid subtropical climate (Cfa) with hot summers and very cold winters by Italian standards. [19], In 1277 Bolzano was conquered by Meinhard II, the Count of Tyrol, leading to a struggle between the counts of Tyrol and the bishops of Trent. [citation needed] The local economy is very dependent on the public sector and especially the provincial government. File/Provided. MyChart licensed from Epic Systems Corporation, 1999 - 2023. Bolzano is connected to the motorway network A22-E45[45] to Trento and Verona and to Innsbruck (Austria) and Munich (Germany). 843-629-2605. The dual carriageway MeBo (Merano - Bolzano) was completed in 1997 to quickly connect the two metropolitan areas of South Tyrol, Merano and Bolzano, and to relieve the surrounding communities in the district of Burggrafenamt and the old former two-lane State street SS38 (Strada statale 38). [25] When Italy surrendered in September 1943, the whole of South Tyrol as well as Belluno were de facto administered by the Nazis as Operational Zone of the Alpine Foothills. : Northeastern Railroads Wilmington Depot, The Berkeley Independent - Moncks Corner, SC, By Tom Corwin mi.) The death was not directly related to Hurricane Ian, which hit near Charleston the same day, spokeswoman Heather Woolwine said. Assist in development of standard reports for ongoing customer needs. This initiative will be implemented in phases through the Identity Manager system. Office of Research Integrity. collective annual budgets in excess of $1.3 billion. The Academy of Music gained international recognition through the biennial Ferruccio Busoni International Piano Competition. Along with other Alpine towns in South Tyrol, Bolzano engages in the Alpine Town of the Year Association for the implementation of the Alpine Convention. Continuous requirements are to perform job functions while standing, walking and sitting. With over 1.2 million visitors (2005), the Bolzano Christmas Market is the most visited in Italy. [31], The city thrives on a mix of old and new high-quality intensive agriculture (including wine, fruit, and dairy products), tourism, traditional handicraft (wood, ceramics), and advanced services. 1 South Park Circle. This causes very sheltered conditions from cool winds during daytime, ensuring much warmer temperatures year-round than in similar valley cities north of the range. For more information contact Mark Simpson at stimpso@musc.edu or extension 2-9320. The College of Medicine at the MUSC Clinical Science Building. Le ultime notizie, video, fotogallery e altri formati del TGR Bolzano Until summer 2015 there was a regular connection between Bolzano Airport (IATA: BZO) and Rome. Read moreWhat to know about candidates for Forest Acres City Council, mayor election, Nurses and therapists at Medical University of South Carolina and community organizations offer help for hundreds of sexual assault victims in the Lowcountry each year. Hilton Head's preserved natural beauty is part of its brand. 70 0 obj <>stream A hub of university activity, the park is frequently a site for food trucks, farmers markets and specialty vendors of all varieties. The University Registrar and Student Records section of the Office of Enrollment Management supports the academic endeavors of the University by coordinating the services of registration, grading, transcripts, course scheduling, commencement, enrollment verifications. To contact MUSC Health Kershaw - - Health Information Services (Medical Records) in writing, the address is 1315 Roberts Street, Camden SC 29020. In Bolzano South there is a transport hub that connects the dual carriageway MeBo with the A22 motorway. [30] The agreement was implemented and proved broadly satisfactory to the parties involved and the separatist tensions soon eased. Notable people born in or associated with Bolzano include: This article is about the city in Italy. ), of which 28 km 2 (10 sq. To learn more about the College of Medicine, click here. The dedication and ribbon cutting of the institute occurred in 1976. Theater im Hof (Theatre in the courtyard), is located on Obstplatz and dedicated to the children and youth theater. Mussolini and the Fascists worried that Hitler, in pursuing his ideology of all ethnic Germans under one Reich, would claim South Tyrol from Italy. You'll need to fill out a Medical Records Transfer Form and send it to your doctor, clinic, medical group, or healthcare organization, along with directions on where to send the copies. Academic Registrar & Student Records 843-792-2536 | [email protected] Search the MUSC Employee Directory. Licensures, Registrations, Certifications. Bolzano organizes the following events every year: The Free University of Bozen-Bolzano was founded in 1997 and has its headquarters in the city of Bolzano. "Our MUSC family is deeply saddened by this event, and we are investigating it in cooperation with the appropriate authorities," the statement says. The goal of such programme was to outnumber the local German-speaking population by tripling Bolzano's population through Italian immigration from other regions of Italy. [33], The tradeshows and conferences of the exhibition are concentrated on topics relating to the economies of Alpine countries. Records and posts payments received and makes payments for vendor invoices and other debts owed by the organization. This gradually eliminated the influence and power previously held by the bishops of Trent over the next few decades. According to the 2011 census, 73.80% of the city's inhabitants spoke Italian, 25.52% German and 0.68% Ladin as their first language. We serve communities across South Carolina through our Lancaster, Columbia, Florence, and Charleston area divisions. Bolzano ShortFilmFestival, also collaborates with the Bolzano Filmfestival and awards prizes for the best short films without words ("No Words"). MUSC Libraries LibAnswers; 68 Answers; Topics . MUSC Health is a university hospital associated with the Medical University of South Carolina, based in Charleston, South Carolina. The conservatory "Claudio Monteverdi" is a college of music in Bolzano. A special focus lies on those fields: The Free University of Bolzano-Bozen, founded in October 1997, is actively involved in basic and applied research projects through its five faculties, of which four are located in Bolzano. Higher wind gusts possible.. Clear skies. As an example, if you post regularly about visiting your mothers hometown, you should probably not answer a question about her birthplace. At the time of Bolzano's annexation by the Kingdom of Italy the town was settled primarily by a German-speaking population. You can enjoy outdoor dining, and an endless amount of fresh air. The highest point is 1616 metres (5302') above sea level and the lowest point is 232 metres (761') above sea level. Email: KMCROI-authrequest@musc.edu We have helped over 300,000 people with their problems. For additional information, questions or concerns, contact the University Payroll Office at 792-2191, or the MUHA's Payroll Office at 792-7544 or 792-8078. College of Nursing. [16] In 769 Tassilo III, Duke of Bavaria issued in Bolzano the foundation charter of the Innichen Abbey. Serve as lead resource for input and maintenance of the HR intranet site. endstream endobj startxref View one list of MUSC phone quantity including the general information string, call center, confidential hotline also further. The terraXcube is a research infrastructure that can simulate the most extreme climatic conditions on earth. This secret arrangement was confirmed in the Treaty of London (1915). There is thus a great focus on tradeshow subjects within the economic competence of South Tyrol and Trentino. Public Safety Department 843-792-4196. To contact MUSC Health Kershaw - - Health Information Services (Medical Records) in writing, the address is 1315 Roberts Street, Camden SC 29020. Several objects from the first century AD were found, showing the life of the Romans in Gries-Bolzano at that time. It offers trilingual courses in German, Italian and English. Read moreNew SC airport rules paused after Greenville development outcry, The next time you pause atthe intersectionof East Bay and Chapel streets, you might notice that the bank branch, small office building and even the Circle K there are all designed in a rather charming train station motif, undoubtedly their developers homage to a time when this was the site of the Northeastern Railroads Wilmington Depot, where a horrific Civil War accident claimed more lives in one morning than did all the Federal bombardments of the city combined. Here's How, How to Request and Transfer Your NYU Langone Medical Records. MUSC Health Affiliate Network 22 West Edge Street, Suite 300 Charleston, SC 29403 Phone: 843-792-8877 Email: affiliations@musc.edu General MUSC Health Line 843-792-1414 About MUSC Careers Contact MUSC Health Find a Person Giving MUSC A to Z Public Affairs & Media Relations Wellness Center Patient Care Schedule an Appointment Adult Medical Services Four candidates are competing for two seats in the Forest Acres City Council election May 9, while Thomas Andrews runs unopposed for mayor. Christmas market Bozen; The Bolzano Christmas Market was founded in 1990 as Italy's first Christmas market. Neighbouring communities are: Eppan, Karneid, Laives, Deutschnofen, Ritten, Jenesien, Terlan and Vadena. Sunny. The hospital will only release MUSC medical records upon receiving valid authorization either by mail, Fax, or a personally delivered authorization to release the health information. [24], During the Second World War, Bolzano was the site of the Nazi's Bolzano Transit Camp, a concentration camp for persecuted Jews and political prisoners. endstream endobj 20 0 obj <> endobj 21 0 obj <>/MediaBox[0 0 612 792]/Parent 17 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/Tabs/S/Type/Page>> endobj 22 0 obj <>stream hWn6yE~qb) AUGcM~d]A&9G@A2 The station of Bolzano is served by Frecciarossa and Frecciargento trains of Trenitalia, Italo EVO of Nuovo Trasporto Viaggiatori (from August 2018) and EuroCity trains of BB. You consent to our cookies if you click "I Accept". For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees. With a population of 108,245, Bolzano is also by far the largest city in South Tyrol and the third largest in historical Tyrol. A national leader on many fronts, the college places strong emphasis on diversity and has been recognized for efforts on this front. Since 2017, the research facility has been based in the Technology Park in Bolzano South.[38]. Sdtirol JazzFestival, is a festival that not only takes place in Bolzano but is also performed all over South Tyrol. There are offered often performances in the form of. High 76F. The first phase of this process will start May 29. Storm Eye continued to grow, and on April 1, 1990, it became clear that additional space was needed. Responsible for personnel records management to include organizing and maintenance of all HR files. How to Pay Your Houston Water Bills Online Hassle-Free, How to Remove My Case From The Internet Instantly, How to Recover Your Forgotten Workday Password Hassle-Free, Sending Money to an Inmate Has Never Been Easier, Credit Card Dispute Letter Template That'll Get Your Money Back, Authorization to Release Protected Health Information Form, You need your medical records because you're moving to a different area and want continuity of care with your records, You have an appointment with a new specialist, Your health care providers may be retiring or closing the practice, Purpose of release such as a referring physician request, Signature of patient or patient's representative, A statement acknowledging the patient's right to revoke or cancel the authorization, Your name and any other names under which your records may be filed, Contact information (address, email, phone number), Any specifics about which records to release, The expiration date of this authorization to transfer records.
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