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MAY BE USED AS AN ORIGINAL AUTHORIZATION FOR RELEASE OF HEALTH INFORMATION PURSUANT TO HIPAA Patient Name: Date of Birth: Social Security Number: Patient Address: I, or my authorized representative,
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What is may be used as?
May be used as can be used as a placeholder or sample name.
Who is required to file may be used as?
There is no specific requirement to file may be used as.
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May be used as is typically filled out with generic information or as a placeholder.
What is the purpose of may be used as?
The purpose of may be used as is to demonstrate how a particular name or information can be used.
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May be used as does not require any specific information to be reported.
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