Request Not to Use or Disclose Protected Health Information (LCHR-100)

Larimer County

This government document is issued by Larimer County for use in Colorado

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File Details: PDF (24 KB)
Source
https://www.larimer.gov/sites/default/files/uploads/2019/lchr-100_hipaa_request_not_to_use_or_disclose_phi_04.03_0.pdf

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