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File type: PDF
File page: 1 Page(s)
File size: 32KB
This Hawaii Authorization to Disclose Protected Health Information Form contains ten items, which covers the patient's personal information, the recipient's information, the release reason, the release content, the duration, and the legal statement. Besides, this file also needs the signatures of the patient or his personal representative and the witness. If you are searching for a template of Hawaii State, you can download it from our website without purchase.
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