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  • Home
  • About US
  • Services
    • Family Support
    • Services
    • Resources
    • Calendar
    • CIL's in TN
  • Donate
  • Contact Us
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    T.A.R.P. Center for Independent Living
    Permission to Release/Receive Information

    The only information released or received will be regarding the Independent Living Services the consumer has requested.
    The release of this information is in effect until expiration date 1 year after date signed.
    I understand that this information will:
    • Be kept confidential.
    • Will not be discussed or released to anyone, other than who is listed on the release.
    • I give permission for TARP Grantors to view my files, if necessary.
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