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 ADA Authorization for Release of Medical Information Form 2019-2025

Ada Paperwork for Employer 2019-2025 Form

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Video instructions and help with filling out and completing ADA Authorization For Release Of Medical Information Form

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Instructions and help about ADA Authorization For Release Of Medical Information Form

welcome back to Veterans Benefits done right this is Chris Han in this video hey we're going to get right into the 21-4142 it's basically a records release form this is the title of this it's called an authorization and consent to release information to the Department of Veterans Affairs so you're going to need uh this filled out it's going to be submitted to the VA download a copy from the website va.gov or just go into your workbook we have a copy of that as well so with that in mind I also want to let you know and remind you that you've got these controls here that you can stop start or pause or go backwards if you didn't hear something that we said and you wanted to hear it again so with that said let's go ahead and get started okay here we go we're going to start the top of the form and the top of the form up here basically just has a lot of information about how long they think it'll take you to fill

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