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EFTA00106173
sirloins mates Marshals Service (USMS) PRISONER MEDICAL RECORDS RELEASE FORM ::43rwaTTIC;N:;, smiko• ; 4 eustatiknoi by die USMS ionise Officer Sections ii AG ill are to be completed by the prisoner. Section may be completed by die USMS Intake Officer if the prisoner is unable • or unwilling, but Section
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