Search
Shopping Cart
Your cart is empty.
Browse Categories
Mailing Lists
There are no mailing lists at this time.

AUTHORIZATION TO RELEASE INFORMATION FORMS (100/CASE)


Our Price: Call for Pricing
Item Number: W-HIP111
PROTECTED HEALTH INFORMATION MAY BE DISCLOSED WITHOUT WRITTEN AUTHORIZATION ONLY IN THE PURPOSES SPECIFICALLY OUTLINED IN THE NOTICE OF PRIVACY PRACTICE. ALL OTHER USES AND DISCLOSURES REQUIRE THIS FORM WHICH THE PATIENT FILLS OUT FOR AUTHORIZATION.
Products