Grievant's Authorization to Obtain Medical Records

I do hereby grant permission for the Union to examine, review and obstain copies, where they are neccessary, of any and all portions of my medical records necessary to process a grievance on my behalf.

I understand all information and discussions of a personal nature pertaining to these records or copies of same will be held in strict confidence unless otherwise stated by me.

Signed,

Thank you for your message.

A copy was sent to you by email and also to union@cwa7250.org

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