Document
Medicare Authorization to Disclose Personal Health Information
ICR 201103-0938-014 · OMB 0938-0930 · Object 23763001.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Medicare Authorization to Disclose Personal Health Information |
| Author | CMS - LDixon |
| Last Modified By | Writer |
| File Modified | 2010-10-21 |
| File Created | 2026-07-28 |
| Conversion State | complete |