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Wisconsin River Orthopedics, Ltd. Surgery Center of Wisconsin Rapids, LLC 140 24th ST South, PO Box 8005 Wisconsin Rapids, WI 544958005 7154241881 Phone 7154231602 Authorization for Release of PatientIdentifiable
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Anyone who requires authorization to release protected health information (PHI) may need auth release phi 10062010doc. This can include patients, healthcare providers, insurance companies, or other relevant parties involved in the exchange of PHI.
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Auth release phi 10062010doc is a form used to authorize the release of Protected Health Information (PHI).
Individuals or entities who need to release PHI are required to file auth release phi 10062010doc.
Auth release phi 10062010doc can be filled out by providing the required information such as the patient's name, date of birth, specific PHI to be released, purpose of release, and signature.
The purpose of auth release phi 10062010doc is to obtain authorization from the patient or their legal representative to release their PHI.
Information such as patient's name, date of birth, specific PHI to be released, purpose of release, and signature must be reported on auth release phi 10062010doc.
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