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AUTHORIZATION FOR THE RELEASE OF INFORMATION (FROM DCF). DCF-2131(F). A general authorization for the release of medical or other information is NOT sufficient for this purpose.This authorization will be valid for a period of one year from the signature date below. Patients will be furnished with a copy of their record, upon receipt of a completed Authorization for. Release of Protected Health Information form. This release is valid for a term of five years from the date of signature unless rescinded in writing. (85 Seymour Street, Suite 505, Hartford, CT 06106-5524) in writing. The medical record information release (HIPAA) form allows a patient to give authorization to a 3rd party and access their health records. Edit, sign, and share connecticut release form online. No need to install software, just go to DocHub, and sign up instantly and for free.