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• if the purpose of the authorization is for the sale of protected health information (phi), this form must state whether the phi can be further exchanged. Web third parties (such as employers, schools, social service, or insurance companies) may request form completion, or medical certifications if they submit a request with. Fill in all the information as directed. Health.
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• If The Purpose Of The Authorization Is For The Sale Of Protected Health Information (Phi), This Form Must State Whether The Phi Can Be Further Exchanged.
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Web Third Parties (Such As Employers, Schools, Social Service, Or Insurance Companies) May Request Form Completion, Or Medical Certifications If They Submit A Request With.
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