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Personal Best Health SM, LLC Matthew G Schumann, MD 6239 Cheviot Rd Cincinnati, OH 45247 ×513× 3250398 Fax: (513× 3853952 Authorization for Release of Records Transfer Records To: Transfer Records

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What is authorization for release of?

Authorization for release of is a legal document that allows an individual or organization to release confidential information to a third party.

Who is required to file authorization for release of?

Anyone who wishes to share confidential information with a third party is required to file authorization for release of.

How to fill out authorization for release of?

To fill out authorization for release of, one must provide their personal information, the recipient's information, and details about the information being released.

What is the purpose of authorization for release of?

The purpose of authorization for release of is to ensure that confidential information is only shared with authorized individuals or organizations.

What information must be reported on authorization for release of?

The authorization for release of must include the names and contact information of the parties involved, the type of information being released, and the purpose for releasing the information.

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