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Thompson Health, Health Information Department 350 Parrish Street Canandaigua, NY 14424 Phone: (585)9193849 Fax: (585) 3964761/3966929SH 48 Authorization for Release/Disclosure of Medical and/or Behavioral

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How to fill out sh 48 - authorization

01

To fill out SH 48 - authorization, follow the steps below:

02

Begin by entering the necessary personal information, such as your full name, address, and contact details, in the designated fields.

03

Next, provide information about the individual or entity you are authorizing. This may include their name, contact details, and any specific actions they are authorized to perform on your behalf.

04

Specify the duration of the authorization by indicating the start and end dates, if applicable.

05

Clearly state the purpose or reason for granting the authorization, including any limitations or restrictions.

06

Review the completed form to ensure all information is accurate and complete.

07

Sign and date the form, indicating your consent and agreement to the terms of the authorization.

Who needs sh 48 - authorization?

01

SH 48 - authorization may be needed by individuals or entities who need to grant someone else the authority to act on their behalf in a specific matter.

02

This could include situations such as granting power of attorney, authorizing someone to sign legal documents in your absence, or allowing another individual to make financial decisions on your behalf.

03

It is advisable to consult with a legal professional or relevant authority to determine the specific instances where SH 48 - authorization may be required.

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What is sh 48 - authorization?

The SH 48 - authorization is a form used to authorize a specific action or transaction.

Who is required to file sh 48 - authorization?

Certain individuals or entities may be required to file the SH 48 - authorization depending on the circumstances.

How to fill out sh 48 - authorization?

The SH 48 - authorization form should be filled out completely and accurately, following the instructions provided.

What is the purpose of sh 48 - authorization?

The purpose of the SH 48 - authorization is to grant permission or approval for a particular request or activity.

What information must be reported on sh 48 - authorization?

The SH 48 - authorization form typically requires detailed information about the requester and the action being authorized.

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