888-LAB-8082 | 229 49 Street, Brooklyn, NY - 11220 | www.empirecitylabs.com
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Welcome to Empire City Laboratories
I hereby authorize Empire City Laboratories to electronically release the results of laboratory tests performed on me by Empire City Laboratories. I understand that laboratory test results are considered, under the Health Insurance Portability and Accountability Act (HIPAA), to be "protected health information".
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