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MODEL OHIO CONSENT FORM NAME OF PROVIDER ORGANIZATION In this Consent Form, you can choose whether to allow Name of Provider Organization to obtain access to your medical records through a computer
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What is In this Consent , you can choose whether to allow Name of Provider Organization to obtain access to your medical records through a computer network operated by Name of RHIO, which is part of a statewide computer network Form?

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In this Consent , you can choose whether to allow Name of Provider Organization to obtain access to your medical records through a computer network operated by Name of RHIO, which is part of a statewide computer network template instructions

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The consent form includes information about giving permission or agreement for a specific action or procedure.
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