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SAN LUIS OBISPO COUNTY HEALTH AGENCYREQUEST TO AMEND PROTECTED HEALTH INFORMATION
A PHOTOCOPY/FACSIMILE CAN BE USED AS AN ORIGINALCLIENT (PATIENT) INFORMATION:
NAME:
LastFirstMIAKA:
SOC. SEC. #:DATE
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What is a photocopyfacsimile can be?
A photocopy/facsimile can be a reproduction of a document or image made by copying or scanning.
Who is required to file a photocopyfacsimile can be?
The person or entity specified by the requesting party or authority is required to file a photocopy/facsimile.
How to fill out a photocopyfacsimile can be?
To fill out a photocopy/facsimile, you can either make a physical copy using a copier or scanner, or generate a digital copy.
What is the purpose of a photocopyfacsimile can be?
The purpose of a photocopy/facsimile is to provide a copy of a document or image for record-keeping, information sharing, or verification purposes.
What information must be reported on a photocopyfacsimile can be?
The information reported on a photocopy/facsimile may vary depending on the document or image being copied, but generally includes details such as date, time, name, and content.
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