Form700C-VD001 docx 2025

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3.7 out of 5

40 votes

The document is an Authorization for Release of Health Information form, compliant with HIPAA and New York State Law. It allows patients to request the disclosure of their health information, including sensitive data related to alcohol, drug abuse, mental health, and HIV. The form outlines the patient's rights regarding the release of information, the voluntary nature of signing the authorization, and the potential risks associated with email communication of health information. It also specifies details about the healthcare provider involved and includes sections for patient identification and consent.

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Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (22 Votes)
2019	4.8 Satisfied (67 Votes)
2017	3.7 Satisfied (40 Votes)
2015	4 Satisfied (43 Votes)

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