Authorization to Release Information

Please complete this form for authorization to release information to a specific individual. For example a spouse, family member, significant other, doctor, etc.

Location

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Office Hours

Our Regular Schedule

Monday

Closed

Tuesday

9:00 am - 5:30 pm

Wednesday

9:00 am - 5:30 pm

Thursday

9:00 am - 5:30 pm

Friday

9:00 am - 12:00 pm

Saturday

9:00 am - 12:00 pm

Sunday

Closed

Monday
Closed
Tuesday
9:00 am - 5:30 pm
Wednesday
9:00 am - 5:30 pm
Thursday
9:00 am - 5:30 pm
Friday
9:00 am - 12:00 pm
Saturday
9:00 am - 12:00 pm
Sunday
Closed