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Rev 8/28/08 CLIENT CONSULTATION AND RELEASE FORM Please read carefully, complete, sign and date this form prior to your treatment. Name: Phone: () Address: City: State: Zip: HYDRAFACIAL MICRODERMABRASION

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What is client consultation and release?

Client consultation and release is a document that allows the client to give consent for their information to be shared with specific individuals or entities.

Who is required to file client consultation and release?

The healthcare provider or organization that is consulting with the client or releasing the client's information is required to file the client consultation and release form.

How to fill out client consultation and release?

Client consultation and release forms can usually be filled out by providing the client's personal information, specifying who can access the information, and obtaining the client's signature.

What is the purpose of client consultation and release?

The purpose of client consultation and release is to ensure that the client's information is shared only with authorized individuals or entities.

What information must be reported on client consultation and release?

The client's personal information, the reason for consultation or release, and the specific individuals or entities permitted to access the information must be reported on the client consultation and release form.

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