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Additionally, the undersigned health care provider understands that it has deemed such transmission is necessary for the purposes of health care treatment, payment, and/or health care operations.

We’d also rather not admit to doing a number of things at that delicate age; selling urine for handsome prices, letting the cartoon character in our head call us a “cunt”, freeze various body parts off, etc.

And we’d like to see that smile while you’re still in our office.

The undersigned health care provider hereby authorizes Lab Corp and its subsidiaries to send patient protected health information (PHI) as defined by HIPAA (Health Insurance Portability and Accountability Act of 1996) to the fax number listed below.

We thank you for helping us bring a unique homemade Mexican taste to Orange County that only three culinary generations can.

Our flavors carry a fusion of new and traditional, influenced by what our patrons’ palates (from Orange County to across the United States) have come to expect when they dine in our kitchens.

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