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AUTHORIZATION AND RELEASE
By signing this Authorization and Release I irrevocably grant to the County of Cook, the Cook County Health
and Hospitals System and its affiliate, the Cook County Department
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01
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02
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What is by signing this authorization?
By signing this authorization, you are giving permission for the specified action or request to be carried out.
Who is required to file by signing this authorization?
The individual or entity specified in the authorization form is required to file by signing this authorization.
How to fill out by signing this authorization?
You can fill out the authorization form by providing the required information and signing it according to the instructions provided.
What is the purpose of by signing this authorization?
The purpose of signing this authorization is to give consent for a specific action or request to be completed.
What information must be reported on by signing this authorization?
The information that must be reported on the authorization form varies depending on the specific situation or request.
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