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POLICY/GUIDELINE TITLE:ADMINISTRATIVE POLICY AND PROCEDURE MANUALRelease of Drug and Alcohol Abuse Protected Health Information (e.g., Medical Record) for Living Patients POLICY #: 800.55 CATEGORY:

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How to fill out 80055 - release of

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Start by entering the name of the person who is releasing the rights in the designated field.

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Provide the date on which the release is being executed.

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What is 80055 - release of?

80055 - release is a form used to notify the release of certain information or assets.

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You can fill out 80055 - release by providing detailed information about the release of assets or information as requested on the form.

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The purpose of 80055 - release is to document and notify the release of certain information or assets.

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Information such as the details of the release, the parties involved, and any relevant dates may need to be reported on 80055 - release.

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