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PERMISSION TO RELEASE RECORDS FOR TREATMENT PURPOSES New Bern Family Eye Care 2805 Village Way New Bern, NC 28562 (252) 6330016 Fax: (252) 6363895Pamlico Family Eye Care P.O. Box 219 Alliance, NC
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Permission to release records is a document that allows an individual or organization to disclose confidential information to a third party.
Anyone who needs to share confidential information with a third party is required to file permission to release records.
To fill out permission to release records, the individual or organization must provide their personal information, details of the information to be released, and the name of the recipient.
The purpose of permission to release records is to protect the confidentiality of sensitive information while allowing authorized parties to access it.
The information that must be reported on permission to release records includes the name of the person authorizing the release, the specific information to be disclosed, and the name of the recipient.
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