King Washington Request for an Individuals Health Information

State:
Multi-State
County:
King
Control #:
US-3577
Format:
Word; 
Rich Text
Instant download

Description

This form is used by an individual to request access to his or her protected health information. The individual's rights regarding this access are also acknowledged by the individual.

How to fill out King Washington Request For An Individuals Health Information?

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King Washington Request for an Individuals Health Information