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Release Of Clinical Information From The Speech, Language, And Hearing Clinic - Jul 2015

Release Of Clinical Information From The Speech, Language, And Hearing Clinic - Jul 2015

The form is used to authorize the release of clinical information from a clinic or healthcare provider.

Originally published by: fresnostate.edu

Used 13 times

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Frequently asked questions

The form is used to authorize the release of clinical information from a clinic or healthcare provider. It is typically filled out by individuals who must share their medical records with another healthcare provider or third party. It includes sections for providing personal information, specifying the information to be released, and authorizing it. Once completed, the form should be submitted to the relevant clinic or healthcare provider. This document is essential for adequately sharing medical information and maintaining patient privacy.
Anyone who needs to release their clinical information from a clinic.
The completed Release Of Clinical Information From The Speech, Language, And Hearing Clinic should be submitted to the relevant clinic or healthcare provider.

Used 13 times