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Thomas A. Lucas, Jr., O.D. Karen M. Summers, O.D. 2102 South W.S. Young Dr. Killeen, Texas 76543 Phone: 2546904733 Fax: 2546906728 RECORDS RELEASE AUTHORIZATION Date: To: Address: Phone: Fax: I, the

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What is feck records release authorization?

Feck records release authorization is a form that allows an individual or entity to release certain records to a specified party.

Who is required to file feck records release authorization?

Any individual or entity who wants to release specific records to a designated party must file the feck records release authorization.

How to fill out feck records release authorization?

To fill out the feck records release authorization, you need to provide details about the records you want to release, the recipient of the records, and your signature authorizing the release.

What is the purpose of feck records release authorization?

The purpose of feck records release authorization is to ensure that records are released only to authorized parties and to protect the privacy and confidentiality of the information.

What information must be reported on feck records release authorization?

The information that must be reported on feck records release authorization includes the type of records being released, the name and contact information of the recipient, and the reason for the release.

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