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MetLife Disability P.O. Box 14590 Lexington, Kentucky 40511 Fax: 1-800-230-9531 HIPAA: This Authorization has been carefully and specifically drafted to permit disclosure of health information consistent
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HIPAA authorization to disclose is a legal document that allows healthcare entities to share an individual's protected health information (PHI) with another party or organization.
Any healthcare entity or individual who intends to share an individual's protected health information (PHI) with another party or organization is required to file HIPAA authorization to disclose.
To fill out HIPAA authorization to disclose, you need to include the individual's full name, contact information, the specific information to be disclosed, the purpose of disclosure, the recipient's information, and the expiration date of the authorization.
The purpose of HIPAA authorization to disclose is to ensure the privacy and security of an individual's protected health information (PHI) when it is shared with another party or organization.
On HIPAA authorization to disclose, you must report the individual's full name, contact information, the specific information to be disclosed, the purpose of disclosure, the recipient's information, and the expiration date of the authorization.
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