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lMartin Berliner for RECORD RELEASE AUTHORIZATION RECORD RELEASE AUTHORIZATION

Lower cost at DRS for the same or comparable clinical forms manufacturers. We monitor their web sites.
If you need additional information, email me at drsforms1@aol.com.
I'd be glad to hear from you.
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Martin Berliner, Vice President Sales.
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at
drsforms1@aol.com
or call 1-866-696-0800
JOT DOWN THE FORM NUMBER-FORM NO. RECR-2

for Fax or Mail
Insurance payment order
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RECORD RELEASE AUTHORIZATION