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Release of Information

Sale price$150.00

This document allows the clinic to send or receive a patient’s health information to authorized parties. It outlines the patient’s right to revoke authorization, specifies the types of information to be shared (e.g., medical records, HIV/AIDS treatment), and includes expiration details. The form ensures compliance with HIPAA standards and protects the patient’s privacy during the information-sharing process.

Release of Information
Release of Information Sale price$150.00

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