{'fraction_non_alphanumeric': 0.038112522686025406, 'fraction_numerical': 0.050816696914700546, 'mean_word_length': 4.63265306122449, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Authorization for Release of Confidential Health Information

TUCH must obtain a written authorization from a patient or their Personal Representative prior to releasing Confidential Health Information, unless a legal exception applies. This form must be fully and completely filled out to be valid. A reasonable copying and handling charge may be charged for this request pursuant to La. R.S. 40:1165.1. All requests should be sent to: Campus Health, Tulane University, 6823 St. Charles Ave., Bldg. 92, New Orleans, LA 70118 or faxed to 504-865-5083.