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Health Information Release ServicesWUPI 660 South Euclid Ave., Campus Box 1219 St. Louis, MO 63110 Office: 314.273.0453 Fax: 833.384.5921REQUEST FOR ACCESS TO PROTECTED HEALTH INFORMATION BY INDIVIDUAL
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Request for access to is a formal application for permission to view or obtain certain information.
Any individual or organization seeking to access specific information may be required to file a request for access.
To fill out a request for access to, one must provide their personal information and specify the information they are seeking access to.
The purpose of a request for access to is to provide transparency and accountability by allowing individuals to obtain information that is otherwise not publicly available.
The request for access to must include the name and contact information of the requester, a detailed description of the information requested, and the reason for requesting the information.
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