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Sonoma County Continuum of Care HIS and Coordinated Entry System CONSENT FOR THE RELEASE OF CONFIDENTIAL INFORMATION What This Release Does: The purpose of this Release of Confidential Information

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How to fill out consent for form release

01

Read the form carefully and make sure you understand what information is being released.

02

Fill out your personal information including your name, address, date of birth, and contact information.

03

Specify the information that you are authorizing to be released and who it should be released to.

04

Sign and date the form to indicate your consent and understanding of the release of information.

05

Make a copy of the completed form for your records before submitting it to the appropriate party.

Who needs consent for form release?

01

Anyone who needs to authorize the release of their personal information to a third party.

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What is consent for form release?

Consent for form release is a document that allows someone else to have access to your information or to act on your behalf.

Who is required to file consent for form release?

Any individual who wants to release their information or authorize someone else to act on their behalf may be required to file consent for form release.

How to fill out consent for form release?

To fill out consent for form release, you usually need to provide your personal information, specify the information you are authorizing to release, and sign the document.

What is the purpose of consent for form release?

The purpose of consent for form release is to protect the privacy and confidentiality of an individual's information while allowing authorized parties to access or use it.

What information must be reported on consent for form release?

The information reported on consent for form release typically includes the individual's name, contact information, the specific information being released, and the duration of the authorization.

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