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CONSENT FOR RELEASE OF CONFIDENTIAL INFORMATION I, hereby authorize / decline (please circle one) the Behavioral Health Clinic of Wausau, LLC to release to / obtain from / exchange with (please circle

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What is consent for release of?

Consent for release of is a form that allows individuals to authorize the release of their information to a specific party.

Who is required to file consent for release of?

Any individual who wishes to authorize the release of their information to a specific party is required to file consent for release of.

How to fill out consent for release of?

To fill out consent for release of, individuals must provide their personal information, specify the information to be released, and indicate the party authorized to receive the information.

What is the purpose of consent for release of?

The purpose of consent for release of is to ensure that individuals have control over who can access their personal information and under what circumstances.

What information must be reported on consent for release of?

The information that must be reported on consent for release of includes the individual's name, contact information, the specific information to be released, and the party authorized to receive the information.

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