Authorization for Release of Protected Health Information From the Delaware Employee Health Care Plan and Disability Insurance Program - Delaware

Authorization for Release of Protected Health Information From the Delaware Employee Health Care Plan and Disability Insurance Program is a legal document that was released by the Delaware Department of Human Resources - a government authority operating within Delaware.

Form Details:

• The latest edition currently provided by the Delaware Department of Human Resources;
• Ready to use and print;
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• Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Delaware Department of Human Resources.