div class=trans-pagebuttonPage 1button div class=trans-image amp-img class=trans-thumb alt=Page 1: · consent is obtained I may use or disclose PHI for purposes outside of treatment payment and healthcare operations when your appropriate written authorization is obtained src=https:reader033fdocumentsinreader033viewer20220503065f6eab3fc2c9c1625c26fcbbhtml5thumbnails1jpg width=142 height=106 layout=responsive amp-img divdivdiv class=trans-pagebuttonPage 2button div class=trans-image amp-img class=trans-thumb alt=Page 2: · consent is obtained I may use or disclose PHI for purposes outside of treatment payment and healthcare operations when your appropriate written authorization is obtained src=https:reader033fdocumentsinreader033viewer20220503065f6eab3fc2c9c1625c26fcbbhtml5thumbnails2jpg width=142 height=106 layout=responsive amp-img divdivdiv class=trans-pagebuttonPage 3button div class=trans-image amp-img class=trans-thumb alt=Page 3: · consent is obtained I may use or disclose PHI for purposes outside of treatment payment and healthcare operations when your appropriate written authorization is obtained src=https:reader033fdocumentsinreader033viewer20220503065f6eab3fc2c9c1625c26fcbbhtml5thumbnails3jpg width=142 height=106 layout=responsive amp-img divdivdiv class=trans-pagebuttonPage 4button div class=trans-image amp-img class=trans-thumb alt=Page 4: · consent is obtained I may use or disclose PHI for purposes outside of treatment payment and healthcare operations when your appropriate written authorization is obtained src=https:reader033fdocumentsinreader033viewer20220503065f6eab3fc2c9c1625c26fcbbhtml5thumbnails4jpg width=142 height=106 layout=responsive amp-img divdiv