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Authorization (Permission) to Use or Disclose (Release)Identifiable Health Information For ResearchParticipants Name: Birth Date: 1. What is the purpose of this form? The Cancer Trials Support Unit
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This information may include details about financial transactions, personal information, or regulatory compliance.
Entities such as individuals, businesses, or organizations may be required to file this information.
The information can be filled out electronically or on paper forms, following specific guidelines and instructions.
The purpose of this information may include is to ensure transparency, accountability, and compliance with regulations.
Details such as income, expenses, assets, liabilities, and other relevant financial or personal information may need to be reported.
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