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Restriction of Directory InformationPatient Name: Date of Birth: Street Address: Last 4 numbers of SSN: City, State, Zip: Telephone: () Patient Account #: Atrium Health may include your name, location
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How to fill out restriction of directory information

01
To fill out the restriction of directory information, follow these steps: 1. Access the directory information form from the relevant website or entity.
02
Provide your personal details including but not limited to name, contact information, and identification.
03
Clearly indicate the specific information you wish to restrict in the directory.
04
Provide any supporting documentation or evidence to support your request for restriction.
05
Submit the filled-out form as per the instructions provided.
06
Follow up with the relevant authorities or organization regarding the status of your request.

Who needs restriction of directory information?

01
Restriction of directory information may be needed by individuals or entities who wish to maintain their privacy and prevent their personal information from being publicly available.
02
Some examples of who may need this restriction include victims of harassment or stalking, individuals with high-profile public roles, people in witness protection programs, and those who have valid security concerns.
03
Additionally, parents or legal guardians may request the restriction of directory information for their minor children to ensure their safety and privacy.
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Restriction of directory information refers to the process by which certain personal information is withheld from public directories to protect an individual's privacy.
Individuals, especially students and certain employees, who wish to restrict their personal information from being disclosed in public directories are required to file this restriction.
To fill out the restriction of directory information, individuals typically need to complete a specific form provided by the relevant institution and submit it with any required documentation.
The purpose of the restriction is to enhance privacy and protect sensitive information from being publicly accessible, thereby reducing the risk of identity theft and other privacy violations.
The information that must be reported typically includes the individual's name, the contact information they wish to restrict, and the reason for the restriction.
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