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HCA PHYSICIAN SERVICES UTAH SURGICAL CENTER AUTHORIZATION FOR RELEASE OF PROTECTED HEALTH INFORMATION (PHI) Section A: This section must be completed for all Authorizations Patient Name:Date of Birth:Providers

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What is utah surgical center?

Utah Surgical Center is a medical facility that provides surgical procedures in the state of Utah.

Who is required to file utah surgical center?

The healthcare facility or provider that operates the Utah Surgical Center is required to file the necessary documents.

How to fill out utah surgical center?

To fill out Utah Surgical Center forms, the healthcare provider must provide information about the facility, the procedures offered, and any relevant patient data.

What is the purpose of utah surgical center?

The purpose of Utah Surgical Center is to provide a convenient and specialized location for surgical procedures to be performed.

What information must be reported on utah surgical center?

Information such as the types of surgeries offered, qualifications of staff, equipment used, and patient safety protocols must be reported on Utah Surgical Center forms.

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