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Get the free CDCR 7385, Authorization for Release of Protected Health Information

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STATE OF CALIFORNIAAUTHORIZATION FOR RELEASE OF PROTECTED HEALTH INFORMATIONDEPARTMENT OF CORRECTIONS AND REHABILITATIONForm: Page 1 of 2 Instructions: Pages 3 & 4CDCR 7385 (Rev. 10×19)All sections
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How to fill out cdcr 7385 authorization for

01
To fill out the CDCR 7385 authorization form, follow these steps:
02
Start by writing the date of the authorization form in the designated space.
03
Fill in the full name of the person requesting the authorization.
04
Provide the person's CDCR number, if applicable.
05
Indicate the specific reason for the authorization request.
06
If the authorization is for visitation, mention the relationship to the inmate and the purpose of the visit.
07
If the authorization is for release of information, specify the type of information to be released and to whom it should be released.
08
Sign and date the authorization form.
09
Submit the completed form to the appropriate authority or department.

Who needs cdcr 7385 authorization for?

01
CDCR 7385 authorization is required by individuals who need permission for specific activities related to the California Department of Corrections and Rehabilitation (CDCR).
02
Some examples of those who may need this authorization include:
03
- Individuals requesting visitation rights to meet an inmate at a CDCR facility.
04
- Individuals requesting release of specific information related to an inmate or their case.
05
- Individuals who need permission for a specific reason as outlined by the CDCR.
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CDCR 7385 authorization is for granting access to confidential information and resources within the California Department of Corrections and Rehabilitation.
Employees, contractors, volunteers, and affiliates who need access to confidential information and resources within CDCR are required to file CDCR 7385 authorization.
You can fill out CDCR 7385 authorization by providing your personal information, reason for access, and required signatures from supervisors or designated officials.
The purpose of CDCR 7385 authorization is to ensure that only authorized individuals have access to confidential information and resources, thereby maintaining security and confidentiality.
Information such as personal details, reason for access, supervisor approvals, and any additional requirements specified by CDCR must be reported on CDCR 7385 authorization.
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