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W
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X
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Y
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OTHER
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Directory Results for Authorization for use or disclosure of protected health ination pursuant to HIPAA to AUTHORIZATION FOR USE OR DISCLOSURE OF PROTECTED HEALTH INATION TEXT FOR USE IN CONSENT FORMS

Authorization for use or disclosure of protected health ination pursuant to HIPAA
AUTHORIZATION FOR USE OR DISCLOSURE OF PROTECTED HEALTH INATION Section A: Must be completed for all authorization I hereby authorize the use or disclosure of my individually identifiable health information as described below
AUTHORIZATION FOR USE OR DISCLOSURE OF PROTECTED HEALTH INATION TEXT FOR USE IN CONSENT FORMS