OMB control number

Authorization For Disclosure Of Medical Information

OMB 3207-0003 · PANAMA.

OMB 3207-0003

Latest Forms, Documents, and Supporting Material

Document Name
AUTHORIZATION FOR DISCLOSURE OF MEDICAL INFORMATION Form

All Historical Document Collections

198502-3207-003 Approved without change	Reinstatement with change of a previously approved collection	1985-02-25
198201-3207-002 Approved without change	New collection (Request for a new OMB Control Number)	1982-01-08