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Incident and Patient Informational:DOB: Incident no.:Incident date.: Approximate Time: Location/Address: 1. The following may receive disclosure of protected health information about me:2. The specific
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Approximate time refers to an estimated period or duration.
Individuals or entities required by law or regulations to submit estimated time frames.
Provide the best estimation of time frames based on available information.
To give an idea of the expected time frame for a process or project.
The start and end dates or duration of a particular activity.
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