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Fort Campbell Retirement Services Office - United States Army
WebDownload the Medical Records Authorization for Release of Health Information Form. Fill out the form on your computer and print the completed document or print the blank document and complete it by hand. Submit your form via fax (629-255-4000) or mail (222 22nd Avenue North, Nashville, TN, 37203). WebHow to Request Current Medical Record. Download the release of information consent form and instructions. Fax the form (580) 558-2756 or (580) 558-3231, email to: … grayish colored
Patient Administration Division - TRICARE
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