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Authorization to Use and Disclose Protected Health Information (PHI) County of Orange, California Health Care Agency INSTRUCTIONSNumbered items in these instructions refer to numbered items on the
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Numbered items in formse are specific sections or categories on a form that are assigned a unique number for identification purposes.
Individuals or entities who are required to submit the form that contains numbered items are required to file them.
Numbered items in formse can be filled out by providing the requested information or data in the designated fields or sections on the form.
The purpose of numbered items in formse is to organize and categorize the information being reported on the form for easier reference and analysis.
The specific information that must be reported on numbered items in formse will vary depending on the requirements of the form, but typically include details such as income, expenses, or assets.
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