Medical Medical_authorization

Medical Authorization Sophia Helena Jongsma

ID: e538eaccf2b32c98

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Category
Vendor
St. Petersburg Fire Rescue, Rescue Division
Date
Oct 5, 2026
Processed
Oct 05, 2026 5:10 AM EDT
Original File
Scan_10052026_033457_000344.pdf

Summary

A medical authorization form for St. Petersburg Fire Rescue releasing the full medical file for patient Sophia Helena Jongsma, dated 10-5-2026, with DOB 1-1-2017 and guardian's driver license J525-420-65-105-0.

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