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Authorization to Release Confidential Information Name of client: ___ Date of birth: ___ I understand that the purpose of this release is to assist with treatment by improving communication between
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How to fill out registration please print policy
01
Obtain a registration form from the designated facility or website
02
Fill out the form with accurate personal information as required
03
Make sure to read and understand the policy that is provided with the registration form
04
Print out the filled registration form along with the policy for your records
Who needs registration please print policy?
01
Anyone who wishes to avail the services or benefits provided by the organization requiring registration
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