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HIPAA Data & PHI Status Data Stat ATU Date: Job Name: Client: #1) Protected Health Information (PHI) Check Only One Box: Will the Client provide FNB Inc. with any data for this job in any form; including
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Carefully read the instructions or guidelines provided with the form or document that requires you to check only one box.
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Check only one box is a section on a form where the user is required to select only one option from the given choices.
Any individual or entity filling out a form with a 'check only one box' section must select the appropriate option.
To fill out check only one box, carefully read the options provided and select the one that best applies to your situation.
The purpose of check only one box is to accurately capture information by allowing the user to choose only one specific option.
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