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Authorization for the Release of Records to Another
If you do not or are unable to provide authorization, your request will be processed, but release of records will be severely restricted to protect the privacy
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Consent to Release Information
Consent to Release Information. A copy of your confidential medical records can be provided to your insurance, or sent to an employer, another university,
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AUTHORIZATION TO DISCLOSE PROTECTED HEALTH
If I authorize the release of substance use disorder treatment information, the recipient cannot re-disclose this information without my permission unless
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