Document
HIPAA Authorization Form to Release Information
ICR 202402-0920-004 · OMB 0920-0891 · Object 139685901.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | HIPAA Authorization Form to Release Information |
| Author | CDC User |
| Last Modified By | Writer |
| File Modified | 2018-09-20 |
| File Created | 2026-08-20 |
| Conversion State | complete |