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AUTHORIZATION TO RELEASE PROTECTED HEALTH CARE INFORMATION TO:Pursuant to the Health Insurance Portability and Accountability Act (HIPAA) Privacy Regulations, 45 CFR 164.508, the provider listed above
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Pursuant to form health is a reporting requirement for health-related information.
Employers or entities that provide health insurance must file pursuant to form health.
You can fill out pursuant to form health online or through a paper form, providing all required health-related information.
The purpose of pursuant to form health is to gather data on health insurance coverage and health care costs.
Information such as the type of health coverage provided, number of individuals covered, and the cost of coverage must be reported on pursuant to form health.
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