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Tamara Allen, PCs, NCC, CSATCandidateBedford Place 1, 1901 Central Dr., Ste 312,P.O. Box 34,Bedford, TX 760218177137223Fax: 6827383687 RELEASE OF INFORMATION AUTHORIZATION I hereby authorize Tamara
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Forms - Release of Information is a document used to obtain consent from individuals to share their personal information with third parties.
Individuals or organizations that need to share personal information as part of legal, medical, or administrative processes are required to file this form.
To fill out the form, complete the designated fields with the necessary personal details, specify the information to be released, identify the recipient of the information, and sign and date the document.
The purpose of the form is to authorize the release of personal information and ensure that the individual's privacy rights are upheld.
The form must report personal identification information, the type of information to be released, the purpose of the release, and the consent of the individual.
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