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EFTA00152420
Rev 11/17 EFTA00152423 ..t pas autes Marshals Service (USMS) PRISONER MEDICAL RECORDS RELEASE FORM ::4317:1;:.771ON:;. itt tot! tbriipivivd by Ule USiviS intake Officer. Sections ii AG iii are ro be completed by the prisoacr. Section may be completed by the USMS Intake Officer if the prisoner is unabl
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