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Louisiana Department of Health and HospitalsAuthorization to Release or Obtain Health Information (including paper, oral and electronic information) Name:Request Date:Mailing Address:Date of Birth:City/State/Zip:Medicaid
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Who needs DHH Louisiana:

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Individuals living in Louisiana and are in need of healthcare services.
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Healthcare providers, such as doctors, nurses, and clinics, who are licensed or seeking licensure in Louisiana.
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Individuals or organizations involved in public health and safety initiatives in Louisiana, such as emergency preparedness or environmental health.
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DHH Louisiana stands for the Louisiana Department of Health and Hospitals.
Healthcare facilities and providers in Louisiana are required to file DHH Louisiana.
DHH Louisiana can be filled out online through the designated portal provided by the Louisiana Department of Health.
The purpose of DHH Louisiana is to ensure compliance with healthcare regulations and to gather data on healthcare facilities and providers in the state.
Information such as patient demographics, medical services provided, and healthcare facility operations must be reported on DHH Louisiana.
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