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To ensure we provide the best care possible and coordinate with the appropriate individuals or organizations, please complete the following Release of Information form(s). This allows us to share relevant details with those you choose and only with your written consent.

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ONCE COMPLETED PLEASE SUBMIT THE FORMS TO US!

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• Emailing them to: INFO@VEEMAHCONSULTING.COM
• Faxing them to: 763-355-5718
• Drop them off at our office, please call ahead to ensure staff are available to receive the form. 


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VEEMAH CONSULTING

7070 Brooklyn Boulevard, Brooklyn Center, MN, 55429

Phone: 763-202-4767 | Fax: 763-355-5718

Copyright © 2018 Veemah Integrated Wellness and Consulting Services LLC - All Rights Reserved.

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