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VERMONT DEPARTMENT OF HEALTH BOARD OF MEDICAL PRACTICE 280 State Drive Watebury, VT 056718320 (802) 6574220 AHS.VDHMedicalBoard@vermont.govAUTHORIZATION FOR RELEASE OF MEDICAL RECORDS BY HOLDER OF

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What is by holder of power?

A holder of power refers to an individual or entity that has been granted authority to manage, control, or make decisions regarding specific assets or responsibilities.

Who is required to file by holder of power?

Individuals or entities that hold power over certain assets, such as trustees, guardians, or other fiduciaries, are required to file as a holder of power.

How to fill out by holder of power?

To fill out the by holder of power form, provide necessary identification information, details of the assets under control, the duration of authority, and any relevant supporting documentation.

What is the purpose of by holder of power?

The purpose of by holder of power is to formalize the authority granted to an individual or entity to manage or oversee certain assets or responsibilities, ensuring accountability and transparency.

What information must be reported on by holder of power?

Information that must be reported includes the identity of the holder of power, details of the assets managed, the nature of the authority, and any disclosures required by law.

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