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Balanced Life Therapy Michelle Hill Murray, LPC 12880 Hillcrest Road, Ste J107 Dallas, Texas 75230 mhmurraylpc gmail.com Phone: 2146319676 Fax: 2146136245REQUEST/AUTHORIZATION TO RELEASE CONFIDENTIAL
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Confidential Records Releasedocx is a document used to formally authorize the release of confidential information from one party to another, often used in legal, medical, or professional contexts.
Individuals or organizations that need to disclose confidential information, such as healthcare providers, legal representatives, or companies handling sensitive data, are required to file this document.
To fill out the confidential records releasedocx, you need to include the names and contact information of the parties involved, specify the information to be released, provide the purpose of the release, and obtain necessary signatures.
The purpose of the confidential records releasedocx is to legally authorize the release of confidential information, ensuring that the disclosure is compliant with privacy laws and regulations.
Information that must be reported includes the identities of the parties, the type of information being released, the purpose for the release, any relevant dates, and signatures of authorized persons.
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