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AUTHORIZATION TO USE OR DISCLOSE HEALTH INFORMATION Athlete Name: Date of Birth Athlete Address: I authorize (name of person/entity) Pendleton High School Athletic Trainer to disclose my health information
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What is hipadoc?
HIPADOC stands for Health Insurance Portability and Accountability Act Document. It is a form that contains important information regarding an individual's health insurance coverage.
Who is required to file hipadoc?
Employers who provide health insurance coverage to their employees are required to file HIPADOC.
How to fill out hipadoc?
HIPADOC can be filled out online or on paper. Employers must provide information about the health insurance coverage offered to their employees.
What is the purpose of hipadoc?
The purpose of HIPADOC is to inform employees about their health insurance coverage options and rights under the Health Insurance Portability and Accountability Act.
What information must be reported on hipadoc?
HIPADOC must include information such as the type of health insurance coverage offered, cost to the employee, and contact information for the insurance provider.
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