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Download this file (GRANT OF AUTHORITY AND AUTHORIZATION FOR.pdf)HIPAA AuthorizationAuthorizes release of medical information, PDF format21 Kb
Download this file (Medical Instructions Form.pdf)Medical Instructions FormExpands the guidelines included in your advance health care directive or health care power of attorney, PDF format32 Kb
Download this file (VitalRecordsandInformationForm2011.pdf)Vital Records and Information FormPDF format44 Kb
Download this file (ProbateCodeAdvancedHealthCareDirectiveForm-fillable.pdf)Advance Health Care DirectiveAdvance Health Care Directive - California Probate Code Section 4701, PDF format411 Kb
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The contents of this web site are distributed to you without warranty of any kind. Use of the site and its contents are at your risk. Charles M. Shackelford,, Crown Capital  Securities, L.P. and/or any affiliated agent and/or its content providers are not liable for any damages you may incur from your use of this site. Although we make every reasonable effort to do so, we make no representations that the information presented is accurate, complete or timely.