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Nassau County Department of Healthcare/Guardian Consent For Alternate Verification Signature, give permission for Nassau County (Parent/Guardians Name Printed)Attendance Sheets/Treatment Logs to be
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What is i give permission for?
I give permission for allows an individual to authorize someone else to act on their behalf.
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Any individual who wants someone else to act on their behalf.
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You can fill out i give permission for by providing your personal information and the name of the person you are authorizing.
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The purpose of i give permission for is to legally grant someone else the authority to act on your behalf.
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You must report your personal information, the name of the authorized person, and the specific actions they are allowed to take on your behalf.
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