Bp a521 060 2025

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54 votes

The document is an authorization form from the U.S. Department of Justice, Federal Bureau of Prisons, allowing inmates to request the release or obtain their medical information. It includes sections for personal details, reasons for the information request, types of medical records to be released, and a disclaimer about the voluntary nature of the authorization. The form also specifies that it can include sensitive information related to mental health, substance abuse, and HIV.

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Versions	Form popularity	Fillable & printable
2012	4.8 Satisfied (127 Votes)
2005	4.3 Satisfied (54 Votes)

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