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 · consent is obtained. I may use or disclose PHI for purposes outside of treatment, payment, and healthcare operations when your appropriate written authorization is obtained

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Page 1:  · consent is obtained. I may use or disclose PHI for purposes outside of treatment, payment, and healthcare operations when your appropriate written authorization is obtained
Page 2:  · consent is obtained. I may use or disclose PHI for purposes outside of treatment, payment, and healthcare operations when your appropriate written authorization is obtained
Page 3:  · consent is obtained. I may use or disclose PHI for purposes outside of treatment, payment, and healthcare operations when your appropriate written authorization is obtained
Page 4:  · consent is obtained. I may use or disclose PHI for purposes outside of treatment, payment, and healthcare operations when your appropriate written authorization is obtained