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AUTHORIZATION FOR RELEASE OF HEALTH INFORMATION For individuals requesting disclosure of medical records, please utilize the following form from the New York State Department of Health. Once the form has been completed, it can be forwarded in print or digital format to District Secretary Christina Gerbasio at:
District Secretary 309 Union Boulevard West Islip NY 11795
or via email at: cgerbasio@wifd.org Form Download: HIPAA Release Form
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