OBSTETRICS & GYNECOLOGY
17722 Talbot Road South  Renton, WA 98055   425.228.0722
16850 SE 272nd Street  Covington, WA 98042  253.630.3644

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Authorization for Release of Health Care Information   Please click on the form below.  Print the form from your printer, complete it by hand and mail to our office!  We do not send medical records electronically (through the Internet).   Authorization for Valley Women's Clinic to Disclose or Release my Health Care Information (Adobe Acrobat Reader required.  To obtain a free version, click on link below               Get Adobe Acrobat Reader for Free!

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