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Authorization for Use and Disclose of Protected Health Information (PHI) Katherine Ferrell, MA, MHC of Seattle Compassionate Counseling Client name: Previous name: Date of Birth: Address: Phone number:
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Forms - Seattle Compassionate refers to the official documents required for compliance with the Seattle Compassionate Care Ordinance, which provides guidelines for compassionate medical practices.
Healthcare providers and organizations offering compassionate care services in Seattle are required to file forms - Seattle Compassionate.
To fill out forms - Seattle Compassionate, individuals should follow the provided instructions, ensuring all required fields are completed accurately, and submit them to the appropriate city department.
The purpose of forms - Seattle Compassionate is to ensure compliance with local laws governing compassionate care and to collect necessary information for regulatory purposes.
Forms - Seattle Compassionate must report identifying information about the provider, the nature of services offered, and compliance with relevant health and safety regulations.
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