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NOTICE×AUTHORIZATION AND RELEASE FOR THE PROCUREMENT OF A CONSUMER AND×OR INVESTIGATIVE CONSUMER REPORT (PLEASE PRINT OR TYPE) I, the undersigned consumer, do hereby authorize HOSPICE OF WASHINGTON
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Notice/authorization and release forms are used to obtain permission from an individual to release confidential information or to authorize a specific action, such as a medical procedure.
Any party seeking to disclose confidential information or perform a specific action that requires authorization.
Notice/authorization and release forms typically require the individual's full name, contact information, a description of the information being disclosed or action authorized, and the individual's signature.
The purpose is to ensure that individuals understand and consent to the disclosure of their confidential information or the performance of a specific action.
The form typically requires details of the information being disclosed, the purpose of the disclosure, and any limitations on the use of the information.
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