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SHELTON EVALUATION CENTER 15720 Hillcrest Dallas, Texas 75248 972-774-1772 Release of Information Form Client s Name: Date of Evaluation: Please read this form carefully. By listing individual names

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What is release of information form?

Release of information form is a document that authorizes the disclosure of personal information to a specified individual or organization.

Who is required to file release of information form?

Any individual or organization seeking to release personal information needs to file a release of information form.

How to fill out release of information form?

To fill out a release of information form, one must provide their personal details, specify the information to be released, and authorize the disclosure.

What is the purpose of release of information form?

The purpose of release of information form is to legally authorize the disclosure of personal information to a specified party.

What information must be reported on release of information form?

The release of information form must include the name and contact details of the individual or organization requesting the information, the type of information to be released, and the purpose for the release.

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