• US Legal Forms

Authorization Health Information

State:
Multi-State
Control #:
US-3580
Format:
Word; 
Rich Text
Instant download

Description Authorization Use Health Information

This form is used by an individual to consent to the use or disclosure of protected health information as described within. The individual also indicates the acknowledgment of his or her rights regarding consent to the use and disclosure of the information.
Free preview Authorization Use Health Information Form
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Authorization Health Information