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TelephoneRecoverySupportConsent PleasePrintClearly Name: Dateofbirth: / / Address(optional): County: Phone: Email: Referred by: TelephoneRecoverySupportCallsaremadebetween: 10am.5pm. Monday Friday
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How to fill out telephone recovery support consent

01
Read the consent form carefully to understand the terms and conditions.
02
Provide your full name, contact information, and date of birth.
03
Sign and date the consent form.
04
Indicate whether you authorize the release of your personal information to the telephone recovery support service.
05
Specify the duration of your consent, if applicable.
06
Submit the completed consent form to the designated authority.
07
Retain a copy of the consent form for your records.

Who needs telephone recovery support consent?

01
Individuals who are seeking telephone recovery support services.
02
People who want to grant permission for their personal information to be shared with the recovery support service.
03
Individuals who want to ensure their preferences and consent regarding telephonic support are documented.
04
Patients undergoing recovery or rehabilitation who wish to benefit from telephone-based support services.
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Telephone recovery support consent is a form that allows a designated individual to provide consent for a telephone company to release call detail records for the purpose of supporting recovery efforts.
Individuals or organizations requesting access to call detail records for recovery support purposes are required to file telephone recovery support consent.
Telephone recovery support consent can be filled out by providing the necessary information requested on the form, including contact information and the purpose for accessing call detail records.
The purpose of telephone recovery support consent is to ensure that necessary consent is obtained before accessing call detail records for recovery support purposes.
Telephone recovery support consent requires information such as the requester's name, contact information, purpose for accessing call detail records, and signature.
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