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Benton County Health Services Authorization to Release Information To avoid delay in complying with your release request please print clearlyPlease complete both sides Authorize Information be Released

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The Benton County Health Department is a government agency responsible for promoting and protecting the health of residents in Benton County, providing services such as immunizations, public health education, and disease prevention.

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Any individual or business operating in Benton County that is required by law to report health-related information to the health department must file with the Benton County Health Department.

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To fill out the Benton County Health Department forms, individuals or businesses must provide accurate health-related information as requested on the forms and submit them to the health department by the specified deadline.

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The purpose of the Benton County Health Department is to safeguard and enhance the health and well-being of the community by providing essential public health services, implementing health policies, and promoting healthy behaviors.

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The information that must be reported to the Benton County Health Department may include but is not limited to disease outbreaks, immunization records, health statistics, and environmental health concerns.

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