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Missouri Authorization to Release Confidential Information

State:
Missouri
Control #:
MO-SKU-0427
Format:
PDF
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Description

Authorization to Release Confidential Information

Missouri Authorization to Release Confidential Information is a document used to provide legal permission to a third party to access information that is normally kept confidential. It is often used for medical purposes. The document must be signed by both the person releasing the information (the “Releaser”) and the person receiving the information (the “Receiver”). There are two types of Missouri Authorization to Release Confidential Information: general authorization and specific authorization. General authorization is used when the Releaser wants to give permission for the Receiver to access any confidential information held by the Releaser. Specific authorization is used when the Releaser wants to limit the scope of the information that can be accessed by the Receiver. With specific authorization, the Releaser must indicate the type of information that can be released and the timeframe in which it can be accessed.

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Missouri Authorization to Release Confidential Information