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AUTHORIZATION TO DISCLOSE HEALTH RECORDS Name: Date of Birth: CID: Today's date: By initialing the space below, I, SS#, hereby authorize The University of Alabama Student Health Center to: Release
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What is by initialing form space?
By initialing form space is a section on a document where individuals are required to write their initials to indicate they have read and agreed to the terms.
Who is required to file by initialing form space?
Anyone filling out the document and agreeing to the terms must file by initialing form space.
How to fill out by initialing form space?
To fill out by initialing form space, individuals should simply write their initials in the designated area.
What is the purpose of by initialing form space?
The purpose of by initialing form space is to signify agreement and acknowledgment of the contents of the document.
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Only the individual's initials need to be reported on by initialing form space.
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