PRINTABLE RELEASE OF INFORMATION / LIMITS OF CONFIDENTIALITY FORMS
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Once you have completed the online Request for Disability Case Management / Navigation services, please print the Release of Information / Limits of Confidentiality Forms PDF document below.
Request for Services / Release of Information / Limits of Confidentiality Forms
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Please complete all areas, and sign then fax to: BCANDS DCM at (250) 381 – 7312
or mail to:
Attention: BCANDS DCM #6 – 1610 Island Highway – Victoria, British Columbia – V9B 1H8
Thank you.