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320 Settlers Trace Blvd. Lafayette, LA 70508 3379819495PATIENT CONSENT FOR USE AND DISCLOSURE PROTECTED HEALTH INFORMATION (PHI) It is the policy of our practice that all physicians and staff preserve
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What is OF PROTECTED HEALTH INATION (PHI) template Form?

The OF PROTECTED HEALTH INATION (PHI) template is a Word document that should be submitted to the relevant address in order to provide some info. It needs to be completed and signed, which may be done in hard copy, or by using a certain solution like PDFfiller. It allows to complete any PDF or Word document directly in your browser, customize it according to your purposes and put a legally-binding e-signature. Once after completion, the user can send the OF PROTECTED HEALTH INATION (PHI) template to the relevant person, or multiple recipients via email or fax. The blank is printable too thanks to PDFfiller feature and options offered for printing out adjustment. Both in digital and in hard copy, your form will have a organized and professional outlook. You may also turn it into a template to use it later, there's no need to create a new document from scratch. You need just to edit the ready template.

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Protected health information (PHI) is any information in a medical record or other health ination that can be used to identify an individual and that was created, used, or disclosed in the course of providing a health care service.
Covered entities, such as healthcare providers, health plans, and healthcare clearinghouses, are required to file protected health ination.
Protected health ination can be filled out by ensuring that all required ination is included and following the guidelines set forth by HIPAA.
The purpose of protected health ination is to protect the privacy and security of individuals' health ination and to ensure that it is used and disclosed appropriately.
Protected health ination must include ination such as the patient's name, address, date of birth, and medical record number.
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