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USA HIPAA Authorization for Use and Disclosure Policy and Form

Prepare a Patient Authorization for Use and Disclosure Policy for your facility with this USA forms package, in accordance with the requirements of the Privacy Rule of the Health Insurance Portability and Accountability Act (HIPAA).

The package includes:
  • Authorization Form Policy to be followed by all staff, and a copy of which should be provided to patients,
  • Patient Authorization for Use and Disclosure of Health Information Form, to be completed and submitted by the patient.
This USA HIPAA Authorization for Use and Disclosure Policy and Form package is provided in MS Word format and can be easily customized to meet your business needs.

Download: USA HIPAA Authorization for Use and Disclosure Policy and Form

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