Document
REQUEST FOR AND AUTHORIZATION TO RELEASE PROTECTED .HEALTH INFORMATION TO eHEALTH EXCHANGE
ICR 201407-2900-009 · OMB 2900-0260 · Object 48733601.
Document Viewer [pdf]
Status: Original and derived artifacts are available for this document.
Download: pdf
Loading document viewer…
Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | REQUEST FOR AND AUTHORIZATION TO RELEASE PROTECTED .HEALTH INFORMATION TO eHEALTH EXCHANGE |
| Subject | Request to release protected health information to eHealth Exchange |
| Author | Department of Veterans Affairs Veterans Health Administration |
| File Modified | 2014-08-27 |
| File Created | 2014-07-10 |
| Conversion State | complete |