Authorization for the Disclosure of Protected Health Information - for the Purpose of Removal of Firearm Disability - Nebraska

Authorization for the Disclosure of Protected Health Information - for the Purpose of Removal of Firearm Disability is a legal document that was released by the Nebraska Department of Health and Human Services - a government authority operating within Nebraska.

Form Details:

• Released on March 1, 2017;
• The latest edition currently provided by the Nebraska Department of Health and Human Services;
• Ready to use and print;
• Easy to customize;
• Compatible with most PDF-viewing applications;
• Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Nebraska Department of Health and Human Services.