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Authorization to Release Medical Records
In order to respect your right to the privacy and confidentiality of the information contained in our medical records, we ask that you complete the Authorization to Release Medical Records if you are requesting a copy of your medical record for any care provided by the Connecticut Surgical Group. This file is saved for your convenience as an Adobe Acrobat file. If you don't have the Acrobat plug-in, please visit the Adobe site to download it.


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