authorization-request-fillable.pdf
AUTHORIZATION: REQUEST OF MEDICAL INFORMATION To NYU Langone Fertility Center NYU Langone Fertility Center ...
authorization-use-and-disclosure-of-phi-instructions-albanian-2-23.pdf
Udhëzime për autorizimin për përdorimin dhe zbulimin e informacionit të mbrojtur shëndetësor (PHI) 1. ...
authorization-use-and-disclosure-of-phi-instructions-arabic-2-23.pdf
والكشف عنھا) PHI(تعلیمات تصریح استخدام المعلومات الصحیة المحمیة .لن یتم قبول النماذج غیر الكاملة. أكمل ...
authorization-use-and-disclosure-of-phi-instructions-bengali-2-23.pdf
ে�ােটকড েহলথ ইনফরেমশন (Protected Health Information, PHI) িনেদর্শাবলীর বয্বহার ও �কােশর জনয্ অনুেমাদন ...
authorization-use-and-disclosure-of-phi-instructions-chinese-2-23.pdf
授權使用與披露受保護的健康資訊 (PHI) 之指示 1. 完成此表單上的所有部分。不接受未完成的表單。 2. 列出向您提供記錄的提供者/實體並按下表的說明提交。 3. 如果要加入酒精/藥物治療、心理健康治療、基因資訊或保密 ...
authorization-use-and-disclosure-of-phi-instructions-creole-2-23.pdf
Otorizasyon pou Itilize ak Pataje Enfòmasyon Sante Pwoteje (Protected Health Information, PHI) - Enstriksyon ...
authorization-use-and-disclosure-of-phi-instructions-french-2-23.pdf
Instructions concernant l’autorisation d'utiliser et de divulguer des renseignements médicaux protégés ...
authorization-use-and-disclosure-of-phi-instructions-greek-2-23.pdf
Οδηγίες για την παραχώρηση Έγκρισης για Χρήση και Κοινοποίηση Προστατευμένων Πληροφοριών Υγείας (PHI) ...
authorization-use-and-disclosure-of-phi-instructions-hindi-2-23.pdf
प्रोटे�ेड हे� इ�ोम�शन (Protected Health Information, PHI) िनद�शो ंके उपयोग और प्रकटीकरण के िलए प्रािधकार ...
authorization-use-and-disclosure-of-phi-instructions-italian-2-23.pdf
Istruzioni per l’autorizzazione all’utilizzo e alla divulgazione di informazioni sanitarie protette (PHI) ...