Albuquerque New Mexico Health Information Privacy Complaint Form for filing with HIPAA Privacy Office

State:
Multi-State
City:
Albuquerque
Control #:
US-354EM
Format:
Word; 
Rich Text
Instant download

Description

This form is used to initiate a complaint based on a violation of the HIPPA laws.

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Albuquerque New Mexico Health Information Privacy Complaint Form for filing with HIPAA Privacy Office