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St. Georgestgeorgehousingauthority.org/pdf/Emergency-Rental...ST. GEORGE HOUSING AUTHORITY Dixie Sun Manor 975 North 1725 West #101 st. George, Utah (435) 628-3648 FAX (435) 986-0960

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Page 1: St. Georgestgeorgehousingauthority.org/pdf/Emergency-Rental...ST. GEORGE HOUSING AUTHORITY Dixie Sun Manor 975 North 1725 West #101 st. George, Utah (435) 628-3648 FAX (435) 986-0960
Page 2: St. Georgestgeorgehousingauthority.org/pdf/Emergency-Rental...ST. GEORGE HOUSING AUTHORITY Dixie Sun Manor 975 North 1725 West #101 st. George, Utah (435) 628-3648 FAX (435) 986-0960
Page 3: St. Georgestgeorgehousingauthority.org/pdf/Emergency-Rental...ST. GEORGE HOUSING AUTHORITY Dixie Sun Manor 975 North 1725 West #101 st. George, Utah (435) 628-3648 FAX (435) 986-0960
Page 4: St. Georgestgeorgehousingauthority.org/pdf/Emergency-Rental...ST. GEORGE HOUSING AUTHORITY Dixie Sun Manor 975 North 1725 West #101 st. George, Utah (435) 628-3648 FAX (435) 986-0960
Page 5: St. Georgestgeorgehousingauthority.org/pdf/Emergency-Rental...ST. GEORGE HOUSING AUTHORITY Dixie Sun Manor 975 North 1725 West #101 st. George, Utah (435) 628-3648 FAX (435) 986-0960
Page 6: St. Georgestgeorgehousingauthority.org/pdf/Emergency-Rental...ST. GEORGE HOUSING AUTHORITY Dixie Sun Manor 975 North 1725 West #101 st. George, Utah (435) 628-3648 FAX (435) 986-0960
Page 7: St. Georgestgeorgehousingauthority.org/pdf/Emergency-Rental...ST. GEORGE HOUSING AUTHORITY Dixie Sun Manor 975 North 1725 West #101 st. George, Utah (435) 628-3648 FAX (435) 986-0960
Page 8: St. Georgestgeorgehousingauthority.org/pdf/Emergency-Rental...ST. GEORGE HOUSING AUTHORITY Dixie Sun Manor 975 North 1725 West #101 st. George, Utah (435) 628-3648 FAX (435) 986-0960

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Ryan Borrowman, DNP Kody Nilsson, MD...1664 S. Dixie Dr., Ste- 102, St. George, UT 84770 Ph: (435) 656-2995 Fax: (435) 656-3237 Authorization to Release Medical Information Under the

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