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CONNECTICUT COLLEGE STUDENT COUNSELING SERVICES 270 MOHEGAN AVENUE, NEW LONDON, CT 06320 (860) 4394587 AUTHORIZATION TO DISCLOSE / OBTAIN PROTECTED HEALTH INFORMATION ALL LISTED INFORMATION IS REQUIRED
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How to fill out scs-authorization-to-disclose-to-deans-office-1
How to fill out scs-authorization-to-disclose-to-deans-office-1
01
Download the SCS Authorization to Disclose to Dean's Office form from the official website of the school.
02
Fill out the personal information section with your full name, student ID number, and contact information.
03
Specify the information you are authorizing the school to disclose to the Dean's Office.
04
Sign and date the form.
05
Submit the completed form to the appropriate office or department as instructed.
Who needs scs-authorization-to-disclose-to-deans-office-1?
01
Students who require the school to disclose specific information to the Dean's Office for academic or administrative purposes.
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What is scs-authorization-to-disclose-to-deans-office-1?
scs-authorization-to-disclose-to-deans-office-1 is a form that allows a student to authorize the disclosure of academic information to the dean's office.
Who is required to file scs-authorization-to-disclose-to-deans-office-1?
Students who wish to authorize the disclosure of their academic information to the dean's office are required to file scs-authorization-to-disclose-to-deans-office-1.
How to fill out scs-authorization-to-disclose-to-deans-office-1?
To fill out scs-authorization-to-disclose-to-deans-office-1, students need to provide their personal information, academic information, and sign the authorization statement.
What is the purpose of scs-authorization-to-disclose-to-deans-office-1?
The purpose of scs-authorization-to-disclose-to-deans-office-1 is to allow students to authorize the disclosure of their academic information to the dean's office for specific purposes.
What information must be reported on scs-authorization-to-disclose-to-deans-office-1?
On scs-authorization-to-disclose-to-deans-office-1, students must report their name, student ID, courses taken, grades, and any other relevant academic information.
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