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WINSTON-SALEM/FORSYTH COUNTY SCHOOLS AUTHORIZATION TO PERMIT USE AND DISCLOSURE OF HEALTH INFORMATION This authorization form implements the requirements for authorization to use and disclose Health
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Form signatory is a document that requires a signature from an authorized individual.
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The purpose of form signatory is to ensure that the designated individual or entity is legally authorized to sign the document or agreement.
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The information that must be reported on form signatory includes the name, title, date, and signature of the authorized signatory.
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