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For Official Use Only: MR#: ___AUTHORIZATION TO RELEASE HEALTH INFORMATION ALL ELEMENTS ARE REQUIRED PRIOR TO INFORMATION BEING RELEASED Patient Name: ___Date of Birth: ___1. Who is authorized to
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For official use only is a designation indicating that certain information in a document is restricted to authorized personnel and should not be disclosed to the public.
Only authorized personnel are required to file for official use onlyenglish and handle restricted information accordingly.
To fill out for official use onlyenglish, the restricted information should be clearly marked with the designation 'For Official Use Only' on the document.
The purpose of for official use only is to protect sensitive information from unauthorized access and disclosure.
Any confidential or sensitive information that is not meant for public dissemination must be reported on for official use onlyenglish.
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