You may write us a letter requesting access or fill out an Authorization for Release of Information Form. 1. Not now or in the future to use or disclose to any other person the Confidential Information or any part thereof without your prior written consent. 2.Protect and impress the value of your confidential information using a straightforward letter of confidentiality. The parties agree in writing that the information is not confidential;. The landlord must provide the information without charge within 10 days of your request. The first step is to identify the parties involved in the transaction. This email may contain confidential information. The choice not to complete the information below will not affect the processing of your application for an apartment at Watchung Terrace. Re: Confidentiality and Non-Disclosure Agreement. I, or my authorized representative, request that health information regarding my care and treatment be released as set forth on this form:.