№ lp_1_32396
This document is an authorization form used by North Carolina Central University to request the release of medical records from healthcare providers for the purpose of processing reasonable accommodation requests for employees with disabilities.
Year: 2023
Region / City: Durham, NC
Topic: Healthcare Authorization for Reasonable Accommodation
Document Type: Authorization Form
Organization / Institution: North Carolina Central University
Author: North Carolina Central University
Target Audience: NCCU employees with disability or medical conditions seeking reasonable accommodation
Period of validity: N/A
Approval Date: N/A
Date of Changes: N/A
Price: 8 / 10 USD
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