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AUTHORIZATION TO DISCLOSE PROTECTED HEALTH
AUTHORITY: This form is acceptable to the Michigan Department of Health and Human Services as compliant with HIPAA privacy regulations, 45CFR Parts 160 and 164
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AUTHORIZATION TO DISCLOSE PROTECTED HEALTH
Note on Release of Health Records - This form is not required for the permissible disclosure of an individuals protected health information to the individual
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HIPAA Authorization for Research
A Privacy Rule Authorization is an individuals signed permission to allow a covered entity to use or disclose the individuals protected health information (
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