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Release Authorization - Pueblo Community Health Center 2025

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4.8 out of 5

32 votes

The document is an authorization form from Pueblo Community Health Center, Inc. that allows patients or their legal representatives to consent to the release or receipt of protected health information. It outlines the patient's rights regarding their medical records, including the ability to restrict certain information, revoke the authorization, and inspect their health information. The form specifies details such as patient identification, purpose of disclosure, and options for how the information will be shared.

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Versions	Form popularity	Fillable & printable
2023	4.1 Satisfied (45 Votes)
2023	4.3 Satisfied (27 Votes)
2023	4.1 Satisfied (45 Votes)
2022	4.8 Satisfied (52 Votes)
2021	4.2 Satisfied (40 Votes)
2021	4.8 Satisfied (61 Votes)
2021	4.7 Satisfied (124 Votes)
2021	4.8 Satisfied (145 Votes)
2021	4.8 Satisfied (89 Votes)
2021	4.8 Satisfied (49 Votes)
2021	4.5 Satisfied (36 Votes)
2021	4.8 Satisfied (31 Votes)
2020	4.8 Satisfied (51 Votes)
2020	4.5 Satisfied (50 Votes)
2020	4.8 Satisfied (39 Votes)

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