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CONSENT FOR THE RELEASE OF CONFIDENTIAL INFORMATION MULTIPLE DUI OFFENDER PROGRAM I, authorized (Name of Client) (Name of DHR Clinical Evaluator) to disclose to the Georgia Department of Human Resources,
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Start by reading the form carefully and understanding the purpose of the consent. Pay attention to any instructions or guidelines provided.
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Fill in your personal information accurately, including your full name, address, contact information, and any other details required.
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Consent form ce is a document stating that an individual gives their consent for a specific action or purpose.
Any individual or organization who is seeking consent from someone is required to file the consent form ce.
To fill out the consent form ce, one must provide all necessary information and signatures required, following the guidelines provided in the form.
The purpose of consent form ce is to ensure that individuals agree to a specific action or purpose and are aware of the implications.
The consent form ce must include the name of the individual giving consent, the specific action or purpose, the date of consent, and any other relevant information.
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Relevant keywords

Georgia CFR DHR Evaluator DUI MH reliance herein referral governing revoke disclosed disclosure Expiration expires Enable completion disclose Confidentiality

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