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How to use or fill out the NYU Release Information Form
- Click ‘Get Form’ to open it in the editor.
- Begin by filling in your personal information in Section 1. Include your name, date of birth, student/employee ID number, and contact details.
- In Section 2, specify the names and addresses of the individuals or entities that will receive your health information.
- For Section 3, select the reason for disclosing your information from the provided options. If 'Other' is selected, please specify.
- In Section 4, check all applicable types of information you wish to disclose. Be sure to include relevant dates where necessary.
- Finally, complete Section 5 by indicating how long this authorization will remain valid. Choose from the options provided or specify an event.
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See more nyu release information form versions
| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2015 | 4.8 Satisfied (76 Votes) |
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