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If you wish to do so, please complete the portion on "Release of Information to Third. Party", sign, and date it.To authorize disclosure of your financial aid information to specific individual(s) or agency(ies), please complete the release section(s) below. Complete 'Consent to Release Information' Form. Obtain Notary Certification of the form. Private Protected Health Information. The CONSENT FOR RELEASE OF INFORMATION STATE OF HAWAII form is 1 page long and contains: 1 signature; 2 checkboxes; 27 other fields. Hawaii HIPAA Authorization For Release Of Information. This completed form and payment (if applicable) are due on or before: to . Hawaii State Department of Education.