Update or Delete my resume

Austin Heart Medical Records

**** * ***** ****., *** 300

Austin, TX 78756

Ph: 512-***-**** Fax: 512-***-****

Section A: This section must be completed for all Authorizations (Texas) Patient Name:

Date of Birth:

Patient’s Phone:

Last 4 digit SSN (optional):

Provider’s Name:

Recipient’s...