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THE NEW INTERDISCIPLINARY SCHOOLCONSENT FOR RELEASE OF RECORDSCHILDS NAME: Date of Birth: ADDRESS: I hereby give consent for the following records to be released to: Name of Agency Address NAME OF

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What is consent to release records?

Consent to release records is a formal authorization given by an individual to allow their personal information or medical records to be shared with a specific party.

Who is required to file consent to release records?

Any individual who wants their records to be shared with a specific party or entity is required to file a consent to release records.

How to fill out consent to release records?

To fill out a consent to release records, the individual must provide their personal information, specify the records to be released, and identify the party that will receive the information.

What is the purpose of consent to release records?

The purpose of consent to release records is to protect the privacy and confidentiality of an individual's personal information by requiring explicit permission before sharing any records.

What information must be reported on consent to release records?

The consent to release records must include the individual's name, contact information, the type of records to be released, the purpose of the release, and the party authorized to receive the information.

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