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AUTHORIZATION FOR DISCLOSURE OF MEDICAL OR DENTAL INFORMATION PRIVACY ACT STATEMENT In accordance with the Privacy Act of 1974 (Public Law 93579), the notice informs you of the purpose of the form
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Start by writing the first name of the person in the designated field.
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The name of the person whose is the individual that the document or form is referring to.
Anyone filling out a form or document that requires identifying a specific individual must include the name of the person whose.
Simply write the full name of the person being referenced in the designated space on the form or document.
The purpose of including the name of the person whose is to clearly identify and reference the individual being discussed or mentioned.
Typically, the full legal name of the individual must be reported on the name of person whose.
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