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Authorization to Release Protected Health Information Section I: Please print clearly I, hereby authorize the use or disclosure of my protected health information as described below. Section II: OSU
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What is section i please print?
Section I is a part of the form that collects basic information about the individual.
Who is required to file section i please print?
All employees hired after November 6, 1986 are required to fill out section I.
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Section I must be completed by the employee and verified by the employer.
What is the purpose of section i please print?
The purpose of section I is to verify the identity and work eligibility of the employee.
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The employee must provide their full name, date of birth, social security number, and citizenship status.
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