div class=ts-pagebutton class=gotoPage data-page=1Page 1button div class=ts-imageimg data-url=adventist-health-west-coast-and-hawaii-hospitals-po-box-3004-lodi-ca-95240htmlpage=1 data-page=1 class=ts-thumb lazyload alt=Page 1: Adventist Health West Coast and Hawaii HospitalsPO BOX 3004 Lodi CA 95240 209 334-3411 AUTHORIZATION FOR USE OR DISCLOSURE OF HEALTH INFORMATION Page 1 of 2 F8700-50 1217112 loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader036vdocumentssitereader036viewer2022071217604e2b5ee721bb64ed7db6aahtml5thumbnails1jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=2Page 2button div class=ts-imageimg data-url=adventist-health-west-coast-and-hawaii-hospitals-po-box-3004-lodi-ca-95240htmlpage=2 data-page=2 class=ts-thumb lazyload alt=Page 2: Adventist Health West Coast and Hawaii HospitalsPO BOX 3004 Lodi CA 95240 209 334-3411 AUTHORIZATION FOR USE OR DISCLOSURE OF HEALTH INFORMATION Page 1 of 2 F8700-50 1217112 loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader036vdocumentssitereader036viewer2022071217604e2b5ee721bb64ed7db6aahtml5thumbnails2jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=3Page 3button div class=ts-imageimg data-url=adventist-health-west-coast-and-hawaii-hospitals-po-box-3004-lodi-ca-95240htmlpage=3 data-page=3 class=ts-thumb lazyload alt=Page 3: Adventist Health West Coast and Hawaii HospitalsPO BOX 3004 Lodi CA 95240 209 334-3411 AUTHORIZATION FOR USE OR DISCLOSURE OF HEALTH INFORMATION Page 1 of 2 F8700-50 1217112 loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader036vdocumentssitereader036viewer2022071217604e2b5ee721bb64ed7db6aahtml5thumbnails3jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=4Page 4button div class=ts-imageimg data-url=adventist-health-west-coast-and-hawaii-hospitals-po-box-3004-lodi-ca-95240htmlpage=4 data-page=4 class=ts-thumb lazyload alt=Page 4: Adventist Health West Coast and Hawaii HospitalsPO BOX 3004 Lodi CA 95240 209 334-3411 AUTHORIZATION FOR USE OR DISCLOSURE OF HEALTH INFORMATION Page 1 of 2 F8700-50 1217112 loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader036vdocumentssitereader036viewer2022071217604e2b5ee721bb64ed7db6aahtml5thumbnails4jpg width=140 height=200 divdiv