AUTHORIZATION TO DISCLOSE, RELEASE AND USE PROTECTED HEALTH INFORMATION (10 YEARS OF RECORDS) HIPAA COMPLIANT Forms
| Form Name | AUTHORIZATION TO DISCLOSE, RELEASE AND USE PROTECTED HEALTH INFORMATION (10 YEARS OF RECORDS) HIPAA COMPLIANT |
| Form # | Form 308 |
| Form Revision | 6.12.2020 |
| Category | Forms » Medical/Health |
| Downloads | |
| Form State | Utah |
| Language | English |
| State Description | n/a |
| Claimwire Description | n/a |