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AUTHORIZATION TO DISCLOSE PROTECTED HEALTH INFORMATION Developed for Texas Health & Safety Code 181.154(d) effective June 2013Please read this entire form before signing and complete all the sections
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How to fill out date of birth month

01
To fill out the date of birth month, follow these steps:
02
Locate the date of birth section on the form or online application.
03
Look for the field specifically asking for the month.
04
Enter the numerical value corresponding to the month of your birth.
05
If the field allows text input, you can also type the name of the month in full or in abbreviation.
06
Double-check to ensure you have entered the correct month.
07
Move on to filling out the day and year of birth to complete your date of birth.

Who needs date of birth month?

01
Various institutions and organizations may require the date of birth month for different purposes, including:
02
- Government agencies: When applying for official documents like passports, driver's licenses, or social security benefits, the date of birth month is typically needed.
03
- Employers: Many job applications require the date of birth month to validate the applicant's age for legal and procedural reasons.
04
- Educational institutions: Schools and universities may request the date of birth month to confirm student eligibility and track enrollment statistics.
05
- Healthcare providers: Medical professionals often require the date of birth month as part of patient records and identification.
06
- Financial institutions: Banks, credit unions, and other financial entities may ask for the date of birth month as a security measure or to comply with regulatory requirements.
07
- Online platforms: Some websites or online services may require the date of birth month to verify user age and provide age-restricted content or features.
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Date of birth month refers to the specific month in which a person was born.
Individuals are usually required to provide their date of birth month on various forms and documents for identification purposes.
Date of birth month can be filled out by selecting the specific month from a drop-down menu or by entering the month in text format.
The purpose of date of birth month is to accurately identify individuals and ensure that they meet certain age requirements for specific activities or legal responsibilities.
The only information that needs to be reported on date of birth month is the specific month in which the individual was born.
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