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Authorization to Release Medical Information

Your health and medical information is considered sensitive and private and is afforded protection under the law. However, there are circumstances when you may want to provide this information to another individual or entity (e.g. insurance companies, employers, etc.). This authorization is granted by the patient, instructing the doctor to release the information to a specific person.

See form: Authorization to Release Medical Information

Note: Some forms not suitable for use in the province of Quebec. Check form details.

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