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Web the health insurance portability and accountability act of 1996 (hipaa) establishes rules and regulations regarding access and disclosure to protected health information. Web i am the patient, or the legally authorized representative of the patient listed above and request michigan medicine to authorization to release copies of a. Web office of hipaa compliance. Open the form in the. Web.
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This Form Is Acceptable To The Michigan Department Of Health And Human Services As Compliant With Hipaa Privacy Regulations, 45Cfr Parts 160 And 164 As.
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