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Get OH Form 7B / Authorization To Release Medical Information 2016-2024

Tution, doctor, or counselor Address City State Zip Country Provence By signing below, I authorize the above provider to provide information, without limitation, relating to mental illness or the use of drugs and alcohol concerning advice, care, or treatment provided to me, to representatives of the National Conference of Bar Examiners, the Supreme Court of Ohio, the Board of Commissioners on Character and Fitness of the Supreme Court of Ohio, and the Office of Bar Admissions of the Supreme.

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