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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
OMB.report
HHS/IHS
OMB 0917-0030
ICR 202309-0917-001
IC 6589
Form IHS 810 IHS 810 AUTHORIZATION FOR USE OR DISCLOSURE OF PROTECTED HEALTH
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application/vnd.openxmlformats-officedocument.wordprocessingml.document
File Title
FORM IHS-810
Subject
Authorization for Use or Disclosure of Protected Health Information
Author
PSC Publishing Services
File Modified
0000-00-00
File Created
2023-09-22
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