div class=ts-pagebutton class=gotoPage data-page=1Page 1button div class=ts-imagea href=https:reader039vdocumentsnetreader039viewer20220313025be7a34809d3f246788cc6c1html5page1jpg target=_blank img data-url=-cedars-sinal-authorization-for-authorization-for-copies-of-medical-recordhtmlpage=1 data-page=1 class=ts-thumb lazyload alt=Page 1: · CEDARS-SINAL AUTHORIZATION FOR Authorization for: Copies of Medical Record a Paper Inspect or Review Medical Record Patient Name: Last Name Date of Birth loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader039vdocumentsnetreader039viewer20220313025be7a34809d3f246788cc6c1html5thumbnails1jpg width=140 height=200 adivdivdiv class=ts-pagebutton class=gotoPage data-page=2Page 2button div class=ts-imagea href=https:reader039vdocumentsnetreader039viewer20220313025be7a34809d3f246788cc6c1html5page2jpg target=_blank img data-url=-cedars-sinal-authorization-for-authorization-for-copies-of-medical-recordhtmlpage=2 data-page=2 class=ts-thumb lazyload alt=Page 2: · CEDARS-SINAL AUTHORIZATION FOR Authorization for: Copies of Medical Record a Paper Inspect or Review Medical Record Patient Name: Last Name Date of Birth loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader039vdocumentsnetreader039viewer20220313025be7a34809d3f246788cc6c1html5thumbnails2jpg width=140 height=200 adivdiv