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HCA PHYSICIAN SERVICES TAMPA EYE & SPECIALTY SURGERY CENTER AUTHORIZATION FOR RELEASE OF PROTECTED HEALTH INFORMATION (PHI) Section A: This section must be completed for all Authorizations Patient
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Tampa Eye & Specialty is a medical practice specializing in eye care and other medical specialties.
All healthcare providers and medical practices that offer eye care services are required to file Tampa Eye & Specialty forms.
To fill out Tampa Eye & Specialty forms, the healthcare provider must accurately report all relevant information regarding eye care services provided.
The purpose of Tampa Eye & Specialty forms is to report information about eye care services rendered by healthcare providers for regulatory and compliance purposes.
Information such as patient demographics, procedures performed, diagnosis codes, and billing information must be reported on Tampa Eye & Specialty forms.
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