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Get the free Authorization for Disclosure/exchange of Information

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Authorize Healing Waters Counseling Center to exchange client information for treatment, evaluation, legal issues, and other purposes while ensuring confidentiality.
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Authorization for disclosure is a legal document that grants permission to share an individual's confidential information with specific parties.
Individuals or entities that handle sensitive information and wish to share it with third parties are required to file authorization for disclosure.
To fill out the authorization, you need to provide necessary personal details, specify the information to be shared, identify the parties involved, and sign the document.
The purpose is to protect the individual's privacy by ensuring that their sensitive information is not shared without their explicit consent.
The authorization must include the individual's name, the specific information to be disclosed, the purpose of disclosure, and the names of the entities receiving the information.
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