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Authorization to Release Personal Health Information Once signed, this form authorizes HAP or its subsidiary Alliance Health and Life Insurance Company, (referred to collectively as HAP in this form)
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Online 19-073 phi authorization is a form used to authorize the release of Protected Health Information (PHI) online.
Individuals or entities who need to disclose PHI online are required to file online 19-073 phi authorization.
Online 19-073 phi authorization can be filled out by providing the necessary information about the individual or entity authorizing the release of PHI online.
The purpose of online 19-073 phi authorization is to ensure that the release of PHI online is authorized by the individual or entity.
Online 19-073 phi authorization must include information about the individual or entity authorizing the release of PHI, as well as details about the PHI being disclosed.
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