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CENTRAL. COMPREHENSIVE PSYCHOTHERAPY & CONSULTATION ASSOCIATES 5000 Sage more Drive, Suite 205. Carlton, NJ 08053 856.983.3866 FAX 856.985.8148
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Releaseofinformationdoc is a document used to authorize the disclosure of protected health information to a specific individual or entity.
Any individual or entity seeking access to protected health information is required to file releaseofinformationdoc.
Releaseofinformationdoc should be filled out by providing the necessary information about the individual authorizing the disclosure of their protected health information, the recipient of the information, and the specific information being disclosed.
The purpose of releaseofinformationdoc is to ensure that the disclosure of protected health information is authorized by the individual and to specify the information that can be disclosed.
Releaseofinformationdoc must include the name of the individual authorizing the disclosure, the name of the recipient of the information, the specific information being disclosed, and any limitations on the disclosure.
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