3/30/2024 0 Comments Dr stockmasterKimberly J Stockmaster has received about me from other healthcare practices, providers or facilities. Kimberly J Stockmaster may disclose any information or records (within the scope of the authorization) that Dr. I acknowledge that with this authorization Dr. I acknowledge that such healthcare information may include information regarding mental health screenings and/or treatment, including psychotherapy notes HIV/AIDS, infectious disease, sexually transmitted infection testing, screening, diagnosis, and/or treatment genetic testing history of domestic violence, child abuse, and/or family abuse and, substance/ alcohol use and treatment history. I acknowledge that such healthcare information may include the following: x rays, clinical diagnosis, histories of present illnesses, immunizations, allergies, prescription drug information, laboratory results, diagnostic screening and testing, clinical procedures, medical research, clinical trials, billing, account, and insurance information. Kimberly J Stockmaster to release any and all healthcare information about me to my HealthLynked personal health record (PHR) for my own uses and purposes. Healthlynked Authorization Release of Information
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