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10/02/200G
AUTHORIZATION FOR USE OR DISCLOSURE OF
PROTECTED HEALTH INFORMATION (PHI)
Use this form to give GHA permission to discuss your PHI with the authorized person(s) listed
below. This form
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Resource center forms amp are official documents used to collect and report specific information related to resource management and utilization within a particular framework or organization.
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Individuals or organizations that engage in resource management activities or receive resources from the center are typically required to file resource center forms amp.
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Information that must be reported on resource center forms amp generally includes data on resource types, amounts, allocation methods, and any relevant compliance or usage metrics.
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