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Patient Informational: HIM Dept 777 Avenue H Powell WY 82435 Phone: 3077542267 FAX: 3077541131AUTHORIZATION FOR USE OR DISCLOSURE OF PROTECTED HEALTH INFORMATION Authorization for: Copies of Medical
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How to fill out attn him dept
01
To fill out attn him dept, follow these steps:
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- Start by writing your name and contact information in the appropriate fields.
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- Next, indicate the department or recipient that the attention is for.
04
- Provide any necessary reference numbers or codes, if applicable.
05
- Briefly describe the reason for attention, concisely and clearly.
06
- Include any relevant attachments or supporting documents.
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- Double-check for accuracy and completeness.
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- Sign the form if required.
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- Submit the completed form to the attention of the HIM department.
Who needs attn him dept?
01
Individuals who require attention from the HIM (Health Information Management) department may include:
02
- Patients or their authorized representatives requesting medical records
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- Healthcare providers requesting patient information
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- Insurance companies or legal entities needing health-related documents
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- Researchers or analysts studying healthcare data
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- HIM department staff members handling internal administrative tasks
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- Any individual or organization with a legitimate need for health information managed by the HIM department.
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