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AUTHORIZATION TO DISCLOSE PROTECTED HEALTH INFORMATION Michigan Department of Health and Human Services Directions: Type or Print all requested information, with exception to signatures on Page 2.

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What is mdhhs may share my?

MDHHS may share my refers to the ability of the Michigan Department of Health and Human Services to share information with other agencies or organizations for various purposes.

Who is required to file mdhhs may share my?

Certain individuals or entities who have access to personal or confidential information may be required to file mdhhs may share my.

How to fill out mdhhs may share my?

MDHHS may provide specific instructions on how to fill out the form for sharing information.

What is the purpose of mdhhs may share my?

The purpose of mdhhs may share my is to facilitate the sharing of information between different entities for specific purposes such as coordination of services or investigations.

What information must be reported on mdhhs may share my?

The information required to be reported on mdhhs may share my may vary depending on the specific circumstances and the intended purpose of sharing.

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