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RECEIVED 12/17/2020 From: Harry Palmer M.C.E., R.S.O. DI Administration Kaiser Permanente 3288 Moanalua Rd. Honolulu, HI 96819 Date: December 17,2020Mail Control Number: 624038 Docket Number : 3003546
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Obtain the Kaiser Foundation Hospital amendment form from the hospital or online.
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Fill in your personal information accurately, including your full name, date of birth, address, and contact information.
03
Specify details about the amendment you are requesting, such as changes to your medical history, treatment plan, or contact preferences.
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Sign and date the form before submitting it to the appropriate department at the hospital.
05
Make sure to keep a copy of the completed amendment for your records.

Who needs kaiser foundation hospital amendment?

01
Patients who have received medical care or treatment at Kaiser Foundation Hospital and need to update their personal or medical information.
02
Individuals who wish to make changes to their medical records or treatment plans maintained by the hospital.
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The Kaiser Foundation Hospital Amendment refers to a specific modification or addition to regulations regarding the operations, governance, and compliance of the Kaiser Foundation Hospitals.
Entities or individuals involved in the governance or administrative functions of Kaiser Foundation Hospitals are typically required to file the amendment.
To fill out the Kaiser Foundation Hospital Amendment, one must obtain the official amendment form, follow the instructions provided for completion, and ensure all required information and signatures are included.
The purpose of the Kaiser Foundation Hospital Amendment is to ensure compliance with healthcare regulations, update operational protocols, and address any changes in governance or policy.
The amendment requires reporting on changes to governance, alterations in operational protocols, any new compliance guidelines, and pertinent financial information.
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