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COUNTY OF LOS ANGELESDEPARTMENT OF HEALTH SERVICES HARBOR UCLA MEDICAL CENTERSUBJECT: RIGHT OF AN INDIVIDUAL TO AGREE OR OBJECT TO USE AND DISCLOSURE OF PROTECTED HEALTH INFORMATION (PHI) POLICY NO.
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How to fill out right to request restriction

01
Obtain the appropriate form for requesting the restriction of your data.
02
Fill out the form completely, providing all necessary information.
03
Clearly state the reason why you are requesting the restriction of your data.
04
Submit the form to the relevant organization or entity responsible for handling data requests.
05
Wait for a response from the organization regarding your request for restriction.

Who needs right to request restriction?

01
Individuals who believe that their personal data is being processed unlawfully or inaccurately.
02
Individuals who wish to restrict the processing of their personal data for specific purposes.
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The right to request restriction allows individuals to limit the processing of their personal data.
Any individual who wants to restrict the processing of their personal data is required to file a right to request restriction.
To fill out a right to request restriction, individuals can submit a written request to the data controller explaining the reasons for the restriction.
The purpose of right to request restriction is to give individuals more control over how their personal data is processed and used.
The request for restriction must include the individual's name, contact information, and a clear explanation of the reasons for requesting the restriction.
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