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This version of the form is not currently in use and is provided for reference only. Download this version of
Attachment 4
for the current year.
Attachment 4 Authorization for Release of Medical Information in Reference to the Americans With Disabilities Act - Florida
What Is Attachment 4?
This is a legal form that was released by the Florida Department of Juvenile Justice - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the Authorization for Release of Medical Information?A: The Authorization for Release of Medical Information is a document that allows the release of medical information in reference to the Americans With Disabilities Act in Florida.
Q: Why is the Authorization for Release of Medical Information needed?A: The Authorization for Release of Medical Information is needed to provide medical information in reference to the Americans With Disabilities Act.
Q: Who needs to sign the Authorization for Release of Medical Information?A: The individual who is requesting the release of medical information needs to sign the Authorization for Release of Medical Information.
Q: What is the Americans With Disabilities Act?A: The Americans With Disabilities Act is a law that prohibits discrimination against individuals with disabilities and ensures equal opportunities in employment, transportation, public accommodations, and more.
Q: Can the Authorization for Release of Medical Information be used for any other purposes?A: No, the Authorization for Release of Medical Information is specific to the Americans With Disabilities Act and cannot be used for other purposes.
Form Details:
- Released on August 17, 2011;
- The latest edition provided by the Florida Department of Juvenile Justice;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Attachment 4 by clicking the link below or browse more documents and templates provided by the Florida Department of Juvenile Justice.
