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Mail fax or email to DSPD Records Compliance Officer 195 North 1950 West Salt Lake City Utah 84116 dspddocuments utah. Please complete this form and have it notarized and submit it to DSPD s records compliance officer. Gov Fax 801-538-4279 Division of Services for People with Disabilities Request for Accounting of Disclosures Per the Health Insurance Portability and Accountability Act HIPAA you have the right to make requests on your Personal Health Information. You may request an accounting...
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