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FRM HL469004B Whatcom County Health Department 1500 N. State Street Bellingham, WA 98225 Authorization for Use and Disclosure of Health Information Client Name (Last) (First) (Middle) (Type or Print)
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What is client name last?
Client name last refers to the last name of the client or customer.
Who is required to file client name last?
Any individual or organization dealing with the client or customer is required to file the client name last.
How to fill out client name last?
To fill out the client name last, you simply need to input the customer's last name in the designated field.
What is the purpose of client name last?
The purpose of client name last is to correctly identify and address the client or customer in official documents or records.
What information must be reported on client name last?
The only information required to be reported on client name last is the last name of the client or customer.
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