Document
IHS Form 917, Request for Correction/Amendment of Protected Health Information
ICR 202309-0917-001 · OMB 0917-0030 · Object 135625501.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | IHS Form 917, Request for Correction/Amendment of Protected Health Information |
| Subject | OMB Approved HIPAA Public Use Forms |
| Author | IHS |
| Last Modified By | Writer |
| File Modified | 2023-09-20 |
| File Created | 2026-09-26 |
| Conversion State | complete |