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► Consent to Release Information
► Consent to Release Information – Authorization to Disclose PHI Form - Form Instruction
► Name an Authorized Delegate
- If you wish to give access to your information to someone else (spouse, family member, your child's guardian, your employer, parent, etc.), you can complete the Authorized Delegate Form, which allows New Directions to share information about your healthcare account with whomever you designate.
- Authorized Delegate Instruction Form
- Authorized Delegate Form
- Spanish Authorized Delegate Form