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Patient Instructions for Form 731 Limited Patient

Patient Instructions for Form 731 Limited Patient 2025

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The document provides instructions for completing Form 7.31, a Limited Patient Authorization for Disclosure of Protected Health Information (PHI). It outlines the process for patients to authorize specific individuals or entities to access their health information, detailing required information such as patient identity, purpose of disclosure, and the scope of information shared. The authorization is valid until the end of the calendar year unless renewed or terminated by the patient. It also includes disclaimers regarding the practice's limitations on control over redisclosed information.

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