div class=ts-pagebuttonPage 1button div class=ts-image a href=https:reader039vdocumentsnetreader039viewer20220313025be7a34809d3f246788cc6c1html5page1jpg target=_blank amp-img class=ts-thumb 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 src=https:reader039vdocumentsnetreader039viewer20220313025be7a34809d3f246788cc6c1html5thumbnails1jpg width=142 height=106 layout=responsive amp-imga divdivdiv class=ts-pagebuttonPage 2button div class=ts-image a href=https:reader039vdocumentsnetreader039viewer20220313025be7a34809d3f246788cc6c1html5page2jpg target=_blank amp-img class=ts-thumb 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 src=https:reader039vdocumentsnetreader039viewer20220313025be7a34809d3f246788cc6c1html5thumbnails2jpg width=142 height=106 layout=responsive amp-imga divdiv