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RELEASE OF INFORMATION REFERENCE REQUEST Office of the Registrar/Student Services Fax (403)5564705 www.oldscollege.ca GENERAL INFORMATION This form is required if a student wishes to use an Olds College
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How to fill out release of information reference:

01
Start by entering your personal information such as your full name, date of birth, and contact details in the designated fields.
02
Next, provide the name and contact information of the individual or organization to whom you are authorizing the release of information. This could be a healthcare provider, employer, or any other relevant party.
03
Specify the type of information you are authorizing to be released. This could include medical records, employment records, educational records, or any other specific documents.
04
Indicate the purpose or reason for the release of information. This could be for insurance claims, legal matters, employment verification, or any other valid reason.
05
Specify the timeframe within which the information should be released. You can indicate a specific start and end date or provide a general timeframe if applicable.
06
Review the release form thoroughly to ensure accuracy and completeness. Make sure all the necessary information is provided and there are no errors or missing details.
07
Finally, sign and date the release of information reference form.

Who needs release of information reference?

01
Individuals applying for a job may need to provide a release of information reference to allow potential employers to verify their employment history and other relevant information.
02
Patients seeking medical treatment from a new healthcare provider may be required to provide a release of information reference, allowing the previous healthcare provider to transfer their medical records.
03
Students transferring from one educational institution to another may need a release of information reference to authorize the transfer of their academic records.
These are just a few examples, but anyone who needs to authorize the release of their personal information to a specific individual or organization may require a release of information reference form.
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