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THRIVE AUTHORIZATION FOR RELEASE OF HEALTH INFORMATIONPatient Name Date of Birth above named person must indicate when this authorization is to expire:When information is received In one herein six
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Thrive authorization for release is a form that allows the release of certain information to a specific individual or entity.
Any individual or entity seeking to release information is required to file thrive authorization for release.
Thrive authorization for release can be filled out by providing the required information and signatures as outlined on the form.
The purpose of thrive authorization for release is to ensure that information is only released to authorized individuals or entities.
Thrive authorization for release must include details about the information being released and the individual or entity receiving the information.
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