Directory Results for New Patient Consent to the Use and Disclosure of Health Ination for Treatment, Payment or Healthcare Operations Name: DOB: I, , understand that as part of my healthcare, Nebraska Occupational Health Center, originates and maintains to New Patient Consent to the Use and Disclosure of Health Ination for Treatment, Payment, or Healthcare Operations I understand that as part of my health care, Pasadena Surgery Center originates and maintains paper and/or electronic