Withdrawl Of Release Of Information To Medical Board Of California {JV-229} | Pdf Fpdf Docx | California

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Withdrawl Of Release Of Information To Medical Board Of California {JV-229} | Pdf Fpdf Docx | California

Last updated: 8/31/2020

Withdrawl Of Release Of Information To Medical Board Of California {JV-229}

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Description

JV-229, Withdrawal of Release of Information to Medical Board of California, you may use this form to stop your authorization for the California Department of Social Services and the California Department of Health Care Services to give your name and contact information to the Medical Board of California, and to see your medical records. Judicial Council of California, New September 1, 2020, Mandatory Form, Welfare and Institutions Code, §§ 369.5, 739.5, 14028, California Rules of Court, rules 5.640 and 5.642. www.FormsWorkflow.com

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