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Iowa Department of Human Services AUTHORIZATION TO OBTAIN OR RELEASE HEALTH CARE INFORMATION Client Name: ID#: SS#: Date of Birth: Parent/Guardian: I authorize the following individual or agency to
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Two-way or reciprocal release is a legal agreement between two parties who agree to release each other from any claims or liabilities.
Both parties involved in the agreement are required to file the two-way or reciprocal release.
To fill out a two-way or reciprocal release, both parties must provide their names, contact information, the date of agreement, and details of the claims or liabilities being released.
The purpose of a two-way or reciprocal release is to legally release both parties from any claims or liabilities against each other.
The information that must be reported on a two-way or reciprocal release includes the names of both parties, contact information, date of agreement, and details of the claims or liabilities being released.
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