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CONSENT TO RELEASE CONFIDENTIAL INFORMATION CALIFORNIA PENAL CODE SECTION 1210.1 Los Angeles Superior Court Case Number Name Treatment Agency Case Number(s) I hereby consent that the treatment provider

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What is consent to release confidential?

Consent to release confidential is a form that allows an individual to authorize the disclosure of their confidential information to a third party.

Who is required to file consent to release confidential?

Anyone who wants to disclose their confidential information to a third party is required to file a consent to release confidential.

How to fill out consent to release confidential?

To fill out a consent to release confidential, one must provide their personal information, specify the information to be disclosed, and authorize the third party to receive it.

What is the purpose of consent to release confidential?

The purpose of consent to release confidential is to protect the privacy and confidentiality of an individual's personal information while allowing them to authorize its disclosure to a specific party.

What information must be reported on consent to release confidential?

The information to be disclosed, the purpose of the disclosure, the recipient of the information, the duration of the authorization, and any limitations on the disclosure.

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