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Forms, Policies and Procedures, and Privacy Pratices Menus
Contents IHS HIPAA Compliant Forms Other IHS HIPAA Compliant Forms Request for an Accounting of Disclosures, IHS-913 (4/03) Authorization for Use or Disclosure of Health Information, IHS-810 (4/03) Request for Correction/Amendment of Protected Health Information, IHS-917 (4/03) Request for Restriction(s), IHS-912-1 (4/03) Request for Revocation of Restriction(s), IHS-912-2 (4/03) Other Delegation of Authority Notice of Privacy Practices Please email questions or comments to HIPAA Web Contact.



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This file last modified: Thursday September 25, 2003 1:39 PM

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