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HRSA IHS Form 916 2009 free printable template

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U.S. Department of Health and Human Services. Health Resources and Services Administration Photo/Image Release Form for Public Affairs Purposes, 20 Date The Health Resources and Services Administration
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HHS HRSA Photoimage Release is a form that allows the release of individuals' photographic images by the Health Resources and Services Administration (HRSA), a division of the U.S. Department of Health and Human Services (HHS).
Individuals or organizations that have obtained photographic images of individuals through HRSA-funded programs or activities are required to file the HHS HRSA Photoimage Release.
To fill out the HHS HRSA Photoimage Release, you need to provide the necessary information and consent regarding the release of the individual's photographic image. The form usually includes sections for personal information, description of the image, purpose of use, and signed consent.
The purpose of the HHS HRSA Photoimage Release is to ensure that individuals' photographic images obtained through HRSA-funded programs or activities are used appropriately and with proper consent.
The HHS HRSA Photoimage Release typically requires reporting of personal information such as name, contact details, description of the image, purpose of use, and a signed consent indicating the individual's agreement to release their photographic image.
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