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CONSENT FOR THE RELEASE OF CONFIDENTIAL INFORMATION I, the undersigned, hereby grant permission to disclose and deliver to and×or from: Name of Person×Organization Address Telephone Fax Email For
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The form undersigned hereby is a document used to declare or affirm a statement made by the person signing it.
Individuals or entities who need to formally declare a statement may be required to file the form undersigned hereby.
To fill out the form undersigned hereby, one must provide their name, signature, and date of signing the document.
The purpose of the form undersigned hereby is to formally declare or affirm a statement in a signed document.
The form undersigned hereby may require the individual to report specific information as outlined in the document.
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