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Oregon.gov : State of Oregon

    https://www.oregon.gov/doc/Forms/medical-records-release-form.pdf
    Created Date: 3/1/2019 2:24:29 PM

ORS 192.566 Authorization Form - Oregon

    https://www.oregon.gov/OMB/ombforms1/All-ORS192-Authorization.pdf
    ORS 192.566 Authorization Form A health care provider may use an authorization that contains the following provisions in accordance with ORS 192.559: AUTHORIZATION TO …

OHSU HIPAA and Privacy Forms | OHSU

    https://www.ohsu.edu/information-technology/ohsu-privacy-and-security-forms
    The following HIPAA and privacy forms are for use by patients seeking care at OHSU and outside organizations working with OHSU. Use this form to authorize OHSU to release …

Oregon Health Authority : HIPAA Resources : Acute and …

    https://www.oregon.gov/oha/PH/DISEASESCONDITIONS/COMMUNICABLEDISEASE/Pages/hipaa.aspx
    Do HIPAA privacy regulations mean that health care providers can't release patient information to you for your public health investigations? No; read the relevant provisions …

Medical Records Release Authorization Form | HIPAA

    https://eforms.com/release/medical-hipaa/
    The medical record information release (HIPAA) form allows a patient to give authorization to a 3rd party and access their health records. The release also allows the added option for healthcare providers to …

Oregon Health Authority : OHP Forms and Publications : …

    https://www.oregon.gov/oha/HSD/OHP/Pages/Forms.aspx
    Use the search field to find forms by topic or form number. You can also filter to find forms for applicants, members, community partners, health plans, providers, and ODHS/OHA …

Free Medical Records Release Authorization Forms | PDF

    https://opendocs.com/health/hipaa-release/
    A medical records release authorization form is a document that allows a person to disclose protected health information to a third party. A patient can also request their …

Authorization to Use and/or Disclose Educational …

    https://www.oregon.gov/ode/students-and-family/healthsafety/Documents/releaseofinfomration.pdf
    Form 581-1196-P (Rev. 6/07) Authorization to Use and/or Disclose Educational and Protected Health Information Purpose of form: • This form was created so that …

AUTHORIZATION FOR USE OR DISCLOSURE OF …

    https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/forms/authorization-to-disclose-health-information-ca-en.pdf
    Hospital and Medical Office records released as part of this authorization may contain references related to mental health, addiction, and HIV medical conditions documented …

Medical Records Authorizations | Providence

    https://www.providence.org/about/medical-records-authorization
    Providence provides access to medical records from our hospitals and other medical facilities to patients and their authorized representatives. Please select the state where …



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