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Supplement for Test Takers with Disabilities AUTHORIZATION TO DISCLOSE HEALTH INFORMATION TO THIRD PARTIES REGARDING GMAT ACCOMMODATION REQUESTS AND RELEASE OF LIABILITY To protect your personal information,

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What is authorization to disclose health?

Authorization to disclose health is a legal document that gives permission to release an individual's health information to another party.

Who is required to file authorization to disclose health?

The individual or their authorized representative is required to file authorization to disclose health.

How to fill out authorization to disclose health?

To fill out authorization to disclose health, you need to provide the required information such as the individual's name, the recipient of the information, specific information to be disclosed, and the purpose of disclosure.

What is the purpose of authorization to disclose health?

The purpose of authorization to disclose health is to safeguard the privacy and confidentiality of an individual's health information and ensure that it is only shared with authorized parties.

What information must be reported on authorization to disclose health?

The information that must be reported on authorization to disclose health includes the individual's name, the recipient's name, the specific information to be disclosed, the purpose of disclosure, and the expiration date of the authorization.

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