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IMMUNIZATION REGISTRY (ImmTrac2) ADULT CONSENT
I understand that, by granting the consent below, I am authorizing release of my immunization information to DSHS and I further understand that DSHS will
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Health Care Information
The THSC also stipulates that DSHS may not release and a person or entity may not gain access to any data that could reasonably be expected to reveal the
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Consent to Release Confidential Medical Information
The Authorization to Release Confidential Information form must be completed and signed by individual clients when they request their personal health records
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