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801 North Orange Ave, Suite 600, Orlando, FL, 32801 pH. (407) 8412100 Fax (407) 8415705 AUTHORIZATION FOR RELEASE OF MEDICAL RECORDS Date: Patient Name: Date of Birth: Purpose/ Need for Information:
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The new-release-form-3docx is a document used to report new releases of substances that may pose a risk to public health or the environment, in accordance with regulatory requirements.
Entities that manufacture, process, or otherwise handle significant quantities of regulated substances are required to file the new-release-form-3docx.
To fill out the new-release-form-3docx, individuals must provide detailed information about the substances released, including quantities, dates of release, and any relevant safety measures taken.
The purpose of the new-release-form-3docx is to ensure that regulatory authorities are informed of new chemical releases, which allows for monitoring and regulation to protect public health and the environment.
The form must report information such as the identity of the substance, date of release, quantities involved, potential impacts, and mitigation measures implemented.
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