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S OUTTAKE P PSYCHIATRIC C COUNSELING C ENTER & & 542 S IL IC O N D R, S T E. #100 S O U T H L A K E, T E × A S 76092 (817) 3293300 O F IC E (817) 3293312 F A X WWW.SOUTHLAKEPSYCH.ORG CONSENT FOR
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Consent release info-adultpdf is a form that allows an adult to give permission for certain information to be released.
Any adult who wishes to give consent for information to be released is required to file the consent release info-adultpdf form.
To fill out the consent release info-adultpdf form, the adult must provide their personal information and specify the information they are consenting to release.
The purpose of consent release info-adultpdf is to legally authorize the release of specific information by an adult.
The consent release info-adultpdf form must include the adult's name, contact information, the information being released, and the reason for releasing it.
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