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AUTHORIZATION TO USE OR DISCLOSE PROTECTED HEALTH INFORMATION I hereby authorize use or disclosure of the named individuals' health information as described below. Social Security Number Date of Birth
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South Texas Health System is a network of hospitals and healthcare facilities located in South Texas.
Healthcare providers and facilities within the South Texas Health System network are required to file.
The South Texas Health System forms can be filled out online or submitted in person at one of the network's locations.
The purpose of the South Texas Health System is to provide quality healthcare services to the community.
Information such as patient demographics, medical history, and treatment details must be reported on the South Texas Health System forms.
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