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AUTHORIZATION FOR RELEASE OF PATIENT HEALTH INFORMATION CHILD AND ADOLESCENT HEALTH ASSOCIATES 1030 N CLARK ST, 4TH FLOOR, CHICAGO, IL 60610 Patient name Date of birth Address City/State/Zip Telephone
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What is chicago il - child?
Chicago IL - Child refers to a specific child support or custody form used in legal proceedings concerning child custody or child support matters in Chicago, Illinois.
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The purpose of the form is to establish, modify, or enforce child support obligations and to facilitate custodial arrangements for the child.
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The form typically requires information such as the names of the parents, details about the child, income information, and any previous agreements or court orders related to child custody or support.
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