Form IHS-810 Authorization for Use or Disclosure of Protected Health Information

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Form IHS-810 Authorization for Use or Disclosure of Protected Health Information

This version of the form is not currently in use and is provided for reference only. Download this version of Form IHS-810 for the current year.

Form IHS-810 Authorization for Use or Disclosure of Protected Health Information

Name: Form IHS-810 Authorization for Use or Disclosure of Protected Health Information
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