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Individuals requesting a Patient Care Report related to self:
Upload a copy of your driver's license so we can release this information to you.
 
If you are requesting on behalf of another individual:
Upload a copy of your driver's license along with one of these:  Power of Attorney, Certificate of Death, or HIPAA Release Form for that individual.  Submit your request through Patient Care Report (justfoia.com) along with the requested items above.