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Multicar (Medical Record location) 325 E. Pioneer, Puyallup, WA 98372 Substance Use Disorder Services (Puyallup/Tacoma) Medical Records Phone: 2536978530 Medical Records Fax:2536978393I authorize

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What is consent-to-use-or-release-my-health-care-informationpdf?

The consent-to-use-or-release-my-health-care-informationpdf is a form that allows individuals to give permission for their healthcare information to be shared or used for specific purposes.

Who is required to file consent-to-use-or-release-my-health-care-informationpdf?

Any individual who wishes to share their healthcare information or have it used for certain purposes is required to file the consent-to-use-or-release-my-health-care-informationpdf form.

How to fill out consent-to-use-or-release-my-health-care-informationpdf?

The consent-to-use-or-release-my-health-care-informationpdf form can be filled out by providing personal information, specifying the type of information to be shared, and indicating the purpose for which it will be used.

What is the purpose of consent-to-use-or-release-my-health-care-informationpdf?

The purpose of the consent-to-use-or-release-my-health-care-informationpdf form is to ensure that individuals have control over who can access their healthcare information and for what purposes it can be used.

What information must be reported on consent-to-use-or-release-my-health-care-informationpdf?

The consent-to-use-or-release-my-health-care-informationpdf form typically requires information such as the individual's name, contact details, healthcare provider, and details of the information to be shared.

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