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South Lyon Community Schools HIPAA Authorization to Disclose Health Information Name: Position: Date of birth: I authorize the use or disclosure of the above named individuals health information as
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South Lyon Community Schools is a school district located in South Lyon, Michigan.
All residents living within the South Lyon Community Schools district boundaries are required to file.
You can fill out the South Lyon Community Schools forms online or in person at the school district office.
The purpose of South Lyon Community Schools is to provide quality education to students within the district.
Information such as residency status, number of children attending school, and contact information must be reported.
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