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Get Uf Health Authorization To Use Or Disclose Protected Health Information For Marketing Fundraising

D by federal health information privacy laws and could be re-disclosed by the person or agency that receives it. Release of HIV- related information, mental health related care, or substance abuse diagnosis and treatment information requires additional authorization. This authorization may be used to disclose the same type(s) of health information described above, which may be created in the future, until the expiration date. YES NO Signature of Student athlete:.

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