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DOH 669386 November 2020Consent for Release of Information I, (Print Name)of(County)authorize, Washington Health Professional Services (WHIPS), to disclose to and/or receive information from: Agency/Person(s)

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Who needs consent for form release?

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Anyone who is required to release their personal information to a third party or organization.

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What is consent for form release?

Consent for form release is a legal document granting permission to release sensitive information to a specified recipient.

Who is required to file consent for form release?

Any individual or organization that needs to release confidential information to a third party.

How to fill out consent for form release?

To fill out consent for form release, one must provide their name, contact information, the recipient's information, and details of the information being released.

What is the purpose of consent for form release?

The purpose of consent for form release is to ensure that sensitive information is not released without permission and to protect the privacy and confidentiality of the individual or organization.

What information must be reported on consent for form release?

The information that must be reported on consent for form release includes the type of information being released, the reason for the release, and any restrictions on the use of the information.

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