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A Maryland State Department of Education Resource. This authorization is voluntary;.University of Maryland. University of Maryland. Oxon Hill, MD 20745. I Authorize release of information of the following portion of my medical records: Entire medical record. And the affiliated physician practice groups listed on the following page. To obtain a copy of your medical record, complete the "Authorization for Release of Protected Health Information" form in its entirety. The District of Columbia Office of the Chief Medical Examiner (OCME) is implementing a standardized Authorization to Release Form. Please print and fill out the authorization form completely.