Authorization to release information definition

Authorization to release information means a written statement, signed and dated by the

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Authorization to release information means the form submitted as part of an Application by which Applicants authorize the Office, its officers, employees, agents, independent contractors, and the members of the Review Committee to obtain information about Applicants from third parties, and which authorizes such third parties to supply such requested information to the Office. This form is labeled as “Exhibit G.”

Authorization to release information means a written statement, signed and dated by the person empowered to authorize release of confidential information by the policies of this chapter, such as the client or the institutional administrator. An authorization to release information must meet the following conditions:

Examples of Authorization to release information in a sentence

Authorization to release information: I authorize the testing facility to release a statement that the EMIT/GC-MS test result is positive or negative.
Authorization to release information: I authorize Methodist Health System to furnish requested information from the patient's medical and other records to (1) any insurance company or third party payor for the purpose of obtaining payment on the account of Methodist Health System, (2) any other person(s) or entities financially responsible for the patient's care or treatment, and (3) representatives of local, state, and federal agencies in accordance with law.
Authorization to release information Real Estate Sales andor Purchase Contract Required form their bank Short Sale Addendum General Warranty Deed.

More Definitions of Authorization to release information

Authorization to release information means the form submitted as part of an Application by which Applicant authorizes the Office, its officers, employees, agents, independent contractors, and the members of the Review Committee to obtain information about Applicant from third parties, and additionally authorizes such third parties to supply such requested information to the Office upon request. This form is labeled as Exhibit G.

Authorization to release information means the part of the child care application packet used to assist the applicant/participant in obtaining information necessary to determine eligibility. It explains the client's rights to confidentiality and gives the participant/applicant the option of authorizing the release of information or declining to authorize the release of information. Unless the release is temporary, it is generally good for one year.

Authorization to release information means a written statement, signed and dated by the person empowered to authorize release of confidential information. The statement shall specify:

Related to Authorization to release information

Calling Name Information means a Telecommunications Carrier’s records of its End Users names associated with one or more assigned ten-digit telephone numbers.
Statement of Additional Information means, respectively, the form of prospectus and statement of additional information with respect to the Fund filed by the Investment Company as part of the Registration Statement, or as they may be amended or supplemented from time to time.
Service Information means information concerning the Services provided by the Contractor to the Authority in accordance with Clause 32.1 for inclusion in the Authority's catalogue and/or any Beneficiary's catalogue from time to time;
Authorization Letter means a letter agreement executed by Borrower in the form of EXHIBIT A.
Insurance Information means the insurance information required by the Access Provider pursuant to Clause 5(b)(xi) hereof.