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However if I revoke this authorization it will not have any effect on actions taken by SOPCC in reliance on it before revocation. If drug and/or alcohol abuse information has been disclosed I understand that my records are protected under federal regulations governing Confidentiality of Alcohol and Drug Abuse Patient Records 42 CFR Part 2 and cannot be disclosed without my written consent unless otherwise provided for in the regulations. O. B. // First Middle Last Regarding the use or...

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