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Description:
This is an authorization form from the patient to the physician indicating the type of information that can be released or received (e.g., medical history, treatment information, records, etc.).
Source:
Adapted from Reckitt Benckiser Buprenorphine form 0
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Description:
This form provides an example of the wording and structure of a consent for release of information form.
Source:
AAAP 0
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