Patient Safety and Quality Improvement Act

Results: 1028



#Item
21Microsoft Word - HIM_auth_form_english.doc

Microsoft Word - HIM_auth_form_english.doc

Add to Reading List

Source URL: www.valleycare.com

Language: English - Date: 2012-10-10 19:01:16
22AUTHORIZATION FOR EXCHANGE AND DISCLOSURE OF PROTECTED HEALTH INFORMATION Client/Patient Name: Date of Birth:  ID:

AUTHORIZATION FOR EXCHANGE AND DISCLOSURE OF PROTECTED HEALTH INFORMATION Client/Patient Name: Date of Birth: ID:

Add to Reading List

Source URL: shcssacstate.org

Language: English - Date: 2013-04-15 13:43:43
23Microsoft WordNotice of Privacy Practices 05-09

Microsoft WordNotice of Privacy Practices 05-09

Add to Reading List

Source URL: www.unchealthcare.org

Language: English - Date: 2015-07-09 09:09:00
24AA Spine & Pain Clinic 4100 Lake Otis Pkwy Suite 216 & 208 Anchorage, AKEffective Date April 1, 2003  NOTICE OF PRIVACY INFORMATION PRACTICES

AA Spine & Pain Clinic 4100 Lake Otis Pkwy Suite 216 & 208 Anchorage, AKEffective Date April 1, 2003 NOTICE OF PRIVACY INFORMATION PRACTICES

Add to Reading List

Source URL: www.aapain.com

Language: English - Date: 2015-06-12 18:21:06
25H 7091 SUBSTITUTE A ======== LC003489/SUB A ========  STATE

H 7091 SUBSTITUTE A ======== LC003489/SUB A ======== STATE

Add to Reading List

Source URL: webserver.rilin.state.ri.us

Language: English - Date: 2014-10-01 15:15:21
26PURDUE UNIVERSITY RECORD OF DISCLOSURE Disclosed by (covered entity): __________________________________________________________ Patient’s Name: _________________________________________  Date of Birth: _____________

PURDUE UNIVERSITY RECORD OF DISCLOSURE Disclosed by (covered entity): __________________________________________________________ Patient’s Name: _________________________________________ Date of Birth: _____________

Add to Reading List

Source URL: www.purdue.edu

Language: English - Date: 2013-06-27 16:27:43
27S 2094 SUBSTITUTE A ======== LC003497/SUB A ========  STATE

S 2094 SUBSTITUTE A ======== LC003497/SUB A ======== STATE

Add to Reading List

Source URL: webserver.rilin.state.ri.us

Language: English - Date: 2014-10-09 10:57:39
28UTAH AUTHORIZATION TO DISCLOSE HEALTH RECORDS TO A LAW ENFORCEMENT AGENCY (For Law Enforcement Use Only. Deliver in person, or if mailed/faxed, with cover letter on agency letterhead. Complete all sections.) 1. I authori

UTAH AUTHORIZATION TO DISCLOSE HEALTH RECORDS TO A LAW ENFORCEMENT AGENCY (For Law Enforcement Use Only. Deliver in person, or if mailed/faxed, with cover letter on agency letterhead. Complete all sections.) 1. I authori

Add to Reading List

Source URL: privacy.utah.edu

Language: English - Date: 2015-05-20 16:44:15
29Patient Safety and Quality Improvement Act / Privacy law / Data privacy / Health Insurance Portability and Accountability Act

The University of Oklahoma Insert Entity Here Authorization for Verbal Release of Protected Health Information Last Name:

Add to Reading List

Source URL: www.ouhsc.edu

Language: English - Date: 2013-08-15 08:46:11
30Internet privacy / Confidentiality / Privacy / Health Insurance Portability and Accountability Act / Patient Safety and Quality Improvement Act / Ethics / Applied ethics / Medical record

The University of Oklahoma Insert Entity Here Authorization to Verbally Release Protected Health Information Last Name:

Add to Reading List

Source URL: ouhsc.edu

Language: English - Date: 2015-05-07 13:36:25