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Authorization For Disclosure of Protected Health Information Pursuant to HIPAA
ICR 202411-1652-007 · OMB 1652-0039 · Object 149923201.
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Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Authorization For Disclosure of Protected Health Information Pursuant to HIPAA |
| Subject | Authorization For Disclosure of Protected Health Information Pursuant to HIPAA |
| Author | Chief Counsel General Law |
| File Created | 2026-01-28 |
| Conversion State | partial |