Thank you for submitting your Authorization to Release Healthcare Information. We will respond to you shortly.
1
1
https://www.corehealthprovider.com/wp-content/plugins/nex-forms
false
message
https://www.corehealthprovider.com/wp-admin/admin-ajax.php
https://www.corehealthprovider.com/authorization-to-release-healthcare-information
yes
1