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SANTA INEZ TRIBAL HEALTH CLINICAUTHORIZATION FOR DISCLOSURE OF HEALTH INFORMATION COMPLETE ALL SECTIONS, DATE AND SIGN I. I, II., hereby voluntarily authorize the disclosure of information from my
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Start by visiting the Santa Ynez Tribal Health website.
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Look for the section or link that says 'Patient Forms' or 'Enrollment Forms'.
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Click on the link to access the forms.
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Santa Ynez Tribal Health is available for members of the Santa Ynez Band of Chumash Indians and their families.
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It is specifically designed to meet the healthcare needs of the tribal community and ensure access to quality healthcare services.
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Anyone who is a member of the Santa Ynez Band of Chumash Indians or an eligible family member can benefit from the Santa Ynez Tribal Health services.
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