I hereby request and authorize A1 Senior Care Advisors LLC to receive copies of my Medical Records and or Health Information including medical history, diagnosis, medication lists and chart notes. I give permission for A1 Senior Care Advisors LLC to speak with my health care representatives on my behalf to gather information that relates and pertains to my long-term care. I also ask that an A1 Senior Care Advisors representative to be included in care conferences and discharge planning.
Beyond Success Adultcare
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