Form IHS 810 IHS 810 AUTHORIZATION FOR USE OR DISCLOSURE OF PROTECTED HEALTH

IHS Forms To Implement The Privacy Rule (45 CFR Parts 160 and 164)

IHS-810 Final 9-8-2023

IHS-810, Authorization for Use or Disclosure of Protected Health Information

OMB: 0917-0030

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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleFORM IHS-810
SubjectAuthorization for Use or Disclosure of Protected Health Information
AuthorPSC Publishing Services
File Modified0000-00-00
File Created2023-09-22

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