AUTHORIZATION FOR USE, REQUEST AND DISCLOSURE OF PROTECTED HEALTH INFORMATION

Harris Health System

This government document is issued by Harris Health System for use in Harris County, TX

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File Details: PDF (423 KB)
Downloads: 22
Source
https://www.harrishealth.org/SiteCollectionDocuments/280342-authorization-for-use-request-and-disclosure-of-phi.pdf#search=forms

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