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Division for the Visually Impaired Authorization For The Release of Information

Form Details

Owner: Health and Social Services, Visually Impaired

Link: http://dhss.delaware.gov/dvi/files/relinfo.pdf

Referring Page - Publications and Forms

Description: A release to the Division for the Visually Impaired (DVI) my latest eye report or the specific information relating to my eye condition that is requested by DVI.

Form Options

Standard PDF - This type of document can be Viewed and Printed online however, normally it can not be edited or filled-in. To open this type of document you will need to have an application installed on your computer that can read portable document files (PDF). Adobe Acrobat Reader is a free viewer that will allow you to open this type of file. Get Adobe Acrobat

Last Updated: Thursday, 28-Feb-2013
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