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TOWNSHIP OF MORRIS POLICE DEPARTMENT 49 WOODLAND AVENUE P.O. BOX 7603 CONVENT STATION, NEW JERSEY 079617603 FAX NO. (973) 3267485Mark Di Carlo CAPTAIN (973) 3267470 CITIZEN POLICE ACADEMY CANDIDATE
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Read the instructions provided in the document carefully.
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Fill out the necessary personal information in the designated fields.
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Individuals who are looking to release their records
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Medical professionals or patients sharing medical records
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release20for20records20-20masterdoc is a document used to request permission to access or disclose medical records.
Medical professionals or facilities are typically required to file release20for20records20-20masterdoc.
To fill out release20for20records20-20masterdoc, one must provide detailed information about the individual whose records are being requested, specify the type of records being requested, and indicate the purpose for the request.
The purpose of release20for20records20-20masterdoc is to ensure that individuals' medical records are only accessed or disclosed with their consent.
Information such as the individual's name, date of birth, the specific records being requested, and the reason for the request must be reported on release20for20records20-20masterdoc.
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