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Dan R. Trueing, M.D.APN Double Board Certified Child, Adolescent, and Adult Psychiatrist 1101 Dove Street, Suite 155 Newport Beach, CA 92660 Phone (949) 4784826 Fax (949) 9547757Authorization for
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Disclosure authorization reviseddoc is a form used to authorize the release of specific information.
Who is required to file disclosure athorization reviseddoc?
Individuals or entities requiring disclosure of certain information are required to file disclosure authorization reviseddoc.
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Disclosure authorization reviseddoc is typically filled out by providing personal information and specifying the type of information to be disclosed.
What is the purpose of disclosure athorization reviseddoc?
The purpose of disclosure authorization reviseddoc is to allow the release of specific information to designated parties.
What information must be reported on disclosure athorization reviseddoc?
The information reported on disclosure authorization reviseddoc typically includes personal details and the specific information to be disclosed.
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