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CASSIUS COLLEGE STUDENT HEALTH CENTER 2001 Main Street, Buffalo, NY 14208 Phone: (716) 888-2610 Fax: (716) 888-3217 AUTHORIZATION FOR DISCLOSURE OF HEALTH INFORMATION / / Name Date of Birth College
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Employees or individuals who require access to confidential information are required to file read form authorization.
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The purpose of read form authorization is to ensure that access to confidential information is granted only to authorized individuals and is properly documented for security and auditing purposes.
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