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AUTHORIZATION for INFORMATION SPANISH Connecticut Jud Ct

AUTHORIZATION for INFORMATION SPANISH Connecticut Jud Ct

Use a AUTHORIZATION FOR INFORMATION SPANISH Connecticut Jud Ct template to make your document workflow more streamlined.

Judicial a obtener informaci n favor de enviar dicha informaci n a Divisi n de la Rama Judicial Nombre del solicitante N mero de tel fono Direcci n postal de la oficina o tribunal 8. Las normativas federales imponen l mite a cualquier uso de la informaci n para fines investigativos o para procesar penalmente a cualquier paciente de abuso de alcohol o drogas. Tipo de Informaci n Historial Cl nico completo Marque esta casilla si la autorizaci n es para obtener informaci n relativa a un menor...
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