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Consent for Release of Information - SSA-3288
Complete this form only if you want us to give information or records about you, a minor, or a legally incompetent adult, to an.
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MINOR CONSENT TO MEDICAL TREATMENT LAWS
This compilation includes state, District of Columbia, and territory statutes as of January 2013 regarding minor consent laws to medical treatment.
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Release of Information (ROI) Forms - URMC
Release of Information (ROI) Forms Accounting of Disclosure: Complete this form to request an accounting of disclosure(s) of your protected health information.
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