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[DOC File]Authorization to Release/Obtain Confidential Records and ...
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I understand that I may revoke this authorization at any time by written or oral request except to the event that action has been taken in reliance thereon. I have also been informed of my right, subject to Pennsylvania Mental Health Records Confidentiality regulations at 55 Pa. Code 5100.31-39, to inspect the information to be released.
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Authorization to Release Student Records
Title: Authorization to Release Student Records Author: fritz_p Last modified by: fritz_p Created Date: 1/10/2006 2:12:00 PM Company: CDE Other titles
school records authorization form

[DOC File]Authorization for Release of School Records
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Authorization for Release of Records and Information. To: _____ Re: _____ I, _____, parent of _____, hereby authorize and request that all documents found in _____’s medical, educational, social work, and/or mental health files be released to an attorney or agent of firm name, including attorney name.
authorization to request school records

Authorization to Release Student Records
Title: Authorization to Release Student Records Author: fritz_p Last modified by: Anderson, Duncan Created Date: 4/6/2016 3:20:00 PM Company: CDE Other titles
school records release form pdf

Authorization to release school records