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144.293. Release or Disclosure of Health Records. - Privacy
May 17, 2020 (1) a signed and dated consent from the patient or the patients legally authorized representative authorizing the release;: (2) specific
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Authorization for Disclosure/Use of Health Information
This form authorizes disclosure of health information. Complete sections for requestor, recipient, purpose, and specific info. Sign, date, and give a copy to client. Expiration is one year unless specified.
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Release of Information Authorization
Policy for Releasing Medical Information. Medical records are confidential and can only be released with legal permission or patient authorization.
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