AUTHORIZATION TO RELEASE INFORMATION Please complete this form to authorize ___________________________________ to disclose your contact information to qualified Early Steps providers that offer early intervention servi

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Date: 2014-12-05 12:19:27 Privacy law Privacy of telecommunications		AUTHORIZATION TO RELEASE INFORMATION Please complete this form to authorize ___________________________________ to disclose your contact information to qualified Early Steps providers that offer early intervention servi Add to Reading List Source URL: www.floridahealth.gov Download Document from Source Website File Size: 34,00 KB Share Document on Facebook

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