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AUTHORIZATION FOR RELEASE OF CONFIDENTIAL OR PROTECTED HEALTH INFORMATION Orange County Corrections Health Services Division PO Box 4970 Orlando, Fl. 32802 (407) 2548306 Fax (407) 8363241 I, Write
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Obtain the Orange County Corrections Health form from the designated source.
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Begin by filling out the personal information section, including your full name, date of birth, and contact information.
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Provide details about your current health condition, including any medical conditions or allergies you may have.
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Indicate any medications you are currently taking, including the dosage and frequency.
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If you have any specific dietary restrictions or requirements, include them in the designated section.
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Provide emergency contact information, including the name, relationship, and contact details of a person who can be reached in case of an emergency.
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Sign and date the form to certify that all the information provided is accurate to the best of your knowledge.

Who needs Orange County Corrections Health?

01
Individuals who are currently in the Orange County Corrections facility.
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Inmates who require healthcare services or need to provide their medical information to the facility.
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Any person who is responsible for managing the healthcare of inmates in the Orange County Corrections facility.
Please note that the specific requirements or process may vary, so it is best to consult the official guidelines or contact the relevant authorities for accurate information.
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Orange County Corrections Health is the healthcare service provided to inmates in Orange County jails.
Healthcare providers and medical staff working in Orange County jails are required to file corrections health reports.
To fill out the corrections health reports, healthcare providers must document the medical history, treatments, and medications administered to inmates.
The purpose of Orange County Corrections Health is to ensure inmates receive proper medical care while in custody.
Information such as inmate medical history, current health conditions, treatments, and medication administration must be reported on corrections health forms.
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