File:2WC-Form-HIPAA-AuthorizationforReleaseofInfo-2018.pdf
Jump to navigation
Jump to search
2WC-Form-HIPAA-AuthorizationforReleaseofInfo-2018.pdf (file size: 23 KB, MIME type: application/pdf)
HIPAA Release Form
File history
Click on a date/time to view the file as it appeared at that time.
| Date/Time | Dimensions | User | Comment | |
|---|---|---|---|---|
| current | 15:40, October 15, 2019 | (23 KB) | Rpruch (talk | contribs) | HIPAA Release Form |
You cannot overwrite this file.
File usage
There are no pages that use this file.