ADULT Informed Consent with HIPPA Authorization Form

Provident Hospital of Cook County

This government document is issued by Provident Hospital of Cook County for use in Cook County, IL

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File Details: DOCX (62.1 KB)
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Source
https://cookcountyhealth.org/wp-content/uploads/Adult-Informed-Consent-HIPAA-Authorization_3-5-21.docx

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