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AUTHORIZATION for RELEASE of PROTECTED HEALTH INFORMATION I, Print Name Authorize the Following Health Care Provider Andor Organ

AUTHORIZATION for RELEASE of PROTECTED HEALTH INFORMATION I, Print Name Authorize the Following Health Care Provider Andor Organ

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Video instructions and help with filling out and completing AUTHORIZATION FOR RELEASE OF PROTECTED HEALTH INFORMATION I, print Name Authorize The Following Health Care Provider Andor Organization To Disclose The Following Protected Health Information To The Designated Person Andor Organization

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Instructions and help about AUTHORIZATION FOR RELEASE OF PROTECTED HEALTH INFORMATION I, print Name Authorize The Following Health Care Provider Andor Organization To Disclose The Following Protected Health Information To The Designated Person Andor Organization

HIPAA stands for Health Insurance Portability and Accountability a HIPPA release and authorization allows an individual to authorize healthcare providers to release protected health information to third parties under the privacy rules in the Federal Health Insurance Portability and Accountability Act of 1996 health care providers generally are not allowed to disclose protected health information to anyone other than the patient or the patient's agent without authorization HIPAA protects an individual's past present or future physical or mental health condition the provision of health care to an individual the payment of expenses relating to the individual's past present or future healthcare an authorization must specify several things including in some cases the purpose for which the information may be used or disclosed a description of the protected health information to be used and disclosed the person authorized to make the use or disclosure the person to who

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