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Student Health Center Marched Towers East 3518 Lacked Avenue St. Louis, MO 63103 P: 3149772323 F: 3149777165 she SL.edu http://www.slu.edu/studenthealthcenter Authorization to Obtain Patient Information
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What is authorization to obtain patient?
Authorization to obtain patient is a legal document that grants permission to access a patient's medical information.
Who is required to file authorization to obtain patient?
Any party or individual seeking to access a patient's medical information is required to file authorization to obtain patient.
How to fill out authorization to obtain patient?
To fill out authorization to obtain patient, you must include the patient's full name, date of birth, specific information being requested, purpose of the request, and signature of the patient or their legal guardian.
What is the purpose of authorization to obtain patient?
The purpose of authorization to obtain patient is to protect the privacy and confidentiality of a patient's medical information.
What information must be reported on authorization to obtain patient?
The information that must be reported on authorization to obtain patient includes the patient's personal information, specific information being requested, purpose of the request, and signature of the patient or their legal guardian.
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