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FREE 10+ Sample Release of Information Forms in PDF Word Excel - An authorization to release information form is a document that allows a healthcare provider to share a patient's protected health information (phi) with a designated. Sample authorization for release of confidential information. It also allows the added option for. A release of information form is released by a health care center and comprises of the confidential patient data requested by. You should also read this: 60 Day Move Out Notice Template
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