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Get Release Form - California State University, Fresno - Fresnostate
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How to fill out the Release Form - California State University, Fresno - Fresnostate online
Completing the Release Form is an essential step for individuals seeking to authorize the sharing of their ADD/ADHD diagnosis and treatment information. This guide will help you navigate the process clearly and effectively, ensuring that all required sections are completed accurately.
Follow the steps to successfully fill out the Release Form:
- Press the ‘Get Form’ button to download the Release Form and open it for editing.
- Begin by filling in the 'I Authorize' section. Here, provide the name of the individual or agency that will receive the information. This field requires specific details about who will be receiving your medical records.
- In the 'To Release the Following' section, check any applicable records related to your ADD/ADHD diagnosis. Include neuropsychological evaluations and other clinical histories that you wish to share.
- Review the authorization statement that explains your rights regarding the disclosure of your health information. Make sure to read through it thoroughly to understand your rights, including your ability to revoke consent.
- After completing the form, ensure all information is accurate. Save the changes to your document.
- You may then download, print, or share the completed form as needed, ensuring you have a copy for your records before submitting it.
Take action now by filling out your Release Form online to ensure a smooth process for your health information transfer.
A cumulative transfer G.P.A. of 2.0 or better is required from Local Area applicants; 2.75 or better is recommended for applicants outside the service area. Must be in “good standing” at the last college or university attended. Good standing means you are eligible to re-enroll at your last college or university.
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