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RIVERTON PSYCHOLOGICAL SERVICES 2128 Main Road Riverton, RI 02878 Telephone: (401) 6249972 Facsimile: (401) 6241452 DOROTHY B. BROWN, Ph.D. ANNE M. DIVIDE, Ph.D. DENNIS J. DOG, Ed. D. Licensed Psychologists
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How to fill out a release request of information:

01
Start by gathering all the necessary information. This includes the name and contact information of the person making the request, as well as any specific details or documents related to the information being requested.
02
Clearly state the purpose of the release request. Is it for personal use, legal proceedings, or any other specific reason? This will help the recipient understand the context and importance of the request.
03
Specify the type of information being requested. Be as clear and specific as possible to avoid any confusion. If there are specific documents or records that need to be included, mention them in detail.
04
Identify the recipient of the request. Provide the name and contact information of the individual or organization who has the requested information. If there are multiple recipients, make sure to include their details as well.
05
Mention any deadlines or timeframes for response. If there is a specific date by which the requested information is needed, clearly state it in the request. This will help prioritize the request and ensure timely processing.
06
Sign and date the release request. This is important to validate the authenticity of the request and establish a legal record. Make sure to include your full name and contact information for any follow-up communication.

Who needs a release request of information:

01
Individuals or organizations involved in legal proceedings, such as lawyers, investigators, or court officials. They may require specific information for evidence, testimonies, or any other legal purposes.
02
Individuals looking to access their own personal information held by an organization or institution. This could include medical records, educational records, or any other personal data.
03
Researchers or journalists who require specific information for their work or publications. They may need access to records, data, or any other relevant information to support their research or reporting.
04
Insurance companies or other financial institutions that need to verify information for processing claims, applications, or any other related purposes.
05
Any individual or organization that requires information for legitimate reasons, such as background checks, immigration procedures, or any other official processes.
Remember, it is important to follow the specific guidelines and procedures provided by the organization or institution from which you are requesting information, as the requirements may vary.
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Release request of information is a formal process of requesting and obtaining information from a specific source or entity.
Any individual or organization seeking information from a specific source or entity is required to file a release request of information.
To fill out a release request of information, one must typically provide their contact information, details of the requested information, and any relevant supporting documents.
The purpose of a release request of information is to formally request and obtain specific information from a source or entity for various reasons such as research, legal matters, or personal records.
The information reported on a release request of information typically includes the requester's details, the specific information being requested, and any relevant context or supporting documents.
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