Request to Access Protected Health Information (PHI) Form

Human Services Department

This government document is issued by Human Services Department for use in San Antonio, TX

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File Details: PDF (425 KB)
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https://www.google.com/url?client=internal-element-cse&cx=013658287118846917901:1fbwneawkiu&q=http://www.sanantonio.gov/Portals/0/Files/EmployeeInformation/Benefits/Forms/HealthVisionDental/AccessPHI.pdf&sa=U&ved=2ahUKEwiShuLIqLL5AhUBrKQKHRG8Bos4MhAWegQICRAB&usg=AOvVaw0cUwugnykzJ_sGSchnUq-i

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