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Dr. Elisa Mine rich, ND 1202 S. 2nd St., Suite D Mt. Vernon, WA 98273 (P) 360.588.4580 (F) 877.588.0727 cascadewholehealth.com RELEASE OF RECORDS *TO* CASCADE WHOLE HEALTH Name: Date of Birth: / /

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What is release of records to?

Release of records to is a process of allowing access to an individual's personal information to a third party.

Who is required to file release of records to?

Any individual or organization that needs access to a person's records is required to file a release of records.

How to fill out release of records to?

To fill out a release of records, one must provide their personal information, specify the records to be released, and authorize the recipient to access them.

What is the purpose of release of records to?

The purpose of release of records is to ensure that personal information is shared securely and with the consent of the individual.

What information must be reported on release of records to?

The release of records must include details such as the name of the individual, the records to be released, the recipient's information, and the expiration date of the authorization.

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