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Authorization to Use and Disclose Health Information Notice to Member: Completing this form will allow Am better from Arkansas Health & Wellness (Am better) to (i) use your health information for

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What is arkansas from health ampamp?

Arkansas Form Health & Wellness is a form used to report health information related to the state of Arkansas.

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The purpose of Arkansas Form Health & Wellness is to gather health data for the state of Arkansas in order to track and improve public health.

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Information such as current health conditions, medications, allergies, and medical history must be reported on Arkansas Form Health & Wellness.

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