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R49 Attachment 1 OCT Official Form No.: 960AUTHORIZATION FOR RELEASE OF HEALTH INFORMATION PURSUANT TO HIPAA This form has been approved by the New York State Department of Health Patient Name Date

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What is r49 - attachment 1?

R49 - attachment 1 is a form used for reporting specific information to the relevant authorities.

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Entities specified by the regulations must file r49 - attachment 1.

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R49 - attachment 1 must be filled out accurately and completely following the instructions provided by the regulatory agency.

What is the purpose of r49 - attachment 1?

The purpose of r49 - attachment 1 is to ensure that necessary information is reported to the authorities for compliance and regulatory purposes.

What information must be reported on r49 - attachment 1?

R49 - attachment 1 requires reporting of specific details as per the regulatory requirements.

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