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CRITICAL MEDICAL ALERTACCESSIBILITY: To request this file in large print, please email aoda@wcdsb.ca or call (519) 5783660. Please select one: My child DOES NOT have a dangerous, life-threatening
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How to fill out release of information to

01
Obtain the release of information form from the organization requesting the information.
02
Fill out your personal information, including name, date of birth, and address.
03
Specify what information you are giving permission to release and to whom.
04
Sign and date the form in the designated areas.
05
Make a copy of the completed form for your records.

Who needs release of information to?

01
Healthcare providers needing to share patient information with other healthcare providers.
02
Schools requiring access to student records.
03
Legal entities requesting information for legal matters.
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Release of information is to legally authorize the disclosure of confidential information to a specific person or entity.
The individual or organization who holds the confidential information is required to file a release of information to disclose it to a specific recipient.
Release of information forms can be filled out by providing the necessary contact information of the disclosing party, recipient, and details of the information to be disclosed.
The purpose of release of information is to ensure that confidential information is only shared with authorized individuals or entities and to maintain privacy and confidentiality.
The release of information must include details about the disclosing party, recipient, specific information to be disclosed, purpose of disclosure, and any limitations or restrictions.
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