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FAIRFIELD FINS MEDICAL RELEASE & NOTICE OF DATA PRACTICES I certify that my child(men) is (are) in good health and can participate in the activities of the Fairfield Fins swim team. In case of any
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Fairfield Fins medical release is a form that allows individuals to authorize the release of their medical information.
Individuals or their authorized representatives are required to file the Fairfield Fins medical release form.
To fill out the Fairfield Fins medical release form, individuals must provide their personal information, the name of the healthcare provider releasing the information, and sign and date the form.
The purpose of the Fairfield Fins medical release form is to allow individuals to authorize the release of their medical information to a specified party.
The information that must be reported on the Fairfield Fins medical release form includes the individual's personal information, the name of the healthcare provider releasing the information, and the party authorized to receive the information.
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