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Comprehensive Vascular and Endovascular Care 22250 Providence Drive, Suite 555 Southfield, MI 48075 26850 Providence Parkway, Suite 405 Novi, MI 48374 PERMISSION AUTHORIZATION WAIVER/PHI RELEASE OF
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Permission authorization waiverphi release is a legal document that allows an individual or organization to release information protected by HIPAA (Health Insurance Portability and Accountability Act) to a specified third party.
Any entity that needs to disclose protected health information (PHI) covered by HIPAA must file a permission authorization waiverphi release.
To fill out a permission authorization waiverphi release, one must provide their personal information, specify the information to be released, indicate the recipient of the information, and sign the document.
The purpose of permission authorization waiverphi release is to allow the disclosure of protected health information (PHI) to a specific individual or organization for a particular purpose.
On a permission authorization waiverphi release, one must report their personal details, the type of information being released, the intended recipient of the information, and the scope of the release.
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