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WINSTON EYE CARE HIPAA Authorization for Use or Disclosure of Health Care Information 101 Laguna Rd. Winston M. D. 101 Laguna Rd. Ste. C Fullerton CA 92835. Exceptions to a revocation of permission include uses or disclosures already made based upon my original permission and as a condition of securing insurance coverage and the insurer has the right by law to contest a claim or policy which requires my health information. Patient Authorization Date signed The Health Insurance Portability and...
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The English - Winston Eye is a form used for reporting financial information.
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