Virginia Consent to Release of Confidential Health Care Information

Virginia Consent to Release of Confidential Health Care Information
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This form is a consent to the release of confidential health care information. The patient gives his/her permission to the named third party for the disclosure of confidential health care records. The form also provides that the person who receives the records may not re-disclose them to anyone else without the patient's separate written consent unless such recipient is a provider who makes a disclosure permitted by law.

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