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AUTHORIZATION for RELEASE of INFORMATION Form 2017-2023
Authorization. For instance if Description of Information To Be Released on the front states All information you have on me then completely describe the data that was actually disclosed such as Medicaid eligibility and disability information from 1993 - 2001 or Immunization data from 2001 - 2003. The federal rules restrict any use of the information to criminally investigate or prosecute any alcohol or drug abuse patient. To the extent that this information is required to remain confidential by...
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