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COUNTY OF LOS ANGELESDEPARTMENT OF HEALTH SERVICESHARBORUCLA MEDICAL CENTER
SUBJECT:TRANSMISSION OF MEDICAL RECORDS BY
FACSIMILE/TELESCOPIES (FAX)POLICY NO. 623PURPOSE:
To provide instructions for
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01
Obtain the IMS-522 HIS form from the appropriate source.
02
Fill in the patient's personal information, such as name, date of birth, and address.
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Who needs ims - 522 his?
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Healthcare providers and facilities may need the IMS-522 HIS form to gather comprehensive information about a patient's health history and current medical condition.
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