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1210 W. Fairview St., Colfax, WA 99111 (509) 3974717 (509) 3973501 8 W Front St., St. John, WA 99171 (509) 6483331 (509) 6483435 115 Crosby, Tea, WA 99033 (509) 2842423 (509) 2843434Authorization
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The authorization-to-use-or-disclose-protect - whitman medical is a legal document that allows Whitman Medical to disclose protected health information for specific purposes.
Patients or individuals receiving medical services at Whitman Medical are required to file an authorization-to-use-or-disclose-protect form.
To fill out the authorization-to-use-or-disclose-protect form for Whitman Medical, individuals need to provide their personal information, specify the recipient of the information, and indicate the purpose of disclosure.
The purpose of the authorization-to-use-or-disclose-protect form is to ensure that protected health information is only shared for authorized purposes and in compliance with healthcare privacy laws.
The authorization-to-use-or-disclose-protect form typically requires individuals to provide their name, contact information, the information to be disclosed, the purpose of disclosure, and the duration of the authorization.
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