Right to Revoke. I can revoke this authorization at any time by written notice of my decision to 000 Xxxxxxxx Xxxxxx XX, XXX 000, Xxxxxxxxxxx, XX 00000. If I withdraw this authorization, the University of Minnesota may not afterwards disclose my information for the purpose listed above. However, I cannot retroactively revoke authorization if disclosure has already occurred.
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Samples: Fellowship Agreement, med.umn.edu, Fellowship Agreement