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Authorization to Disclose All Kids/FamilyCare Information HFS 3806K (pdf)
Authorization to Disclose All Kids/FamilyCare Information HFS 3806KS (pdf) (Spanish)
Authorization to Disclose Health Information HFS 3806D (pdf)
Authorization to Disclose Health Information HFS 3806DS
(pdf) (Spanish)
Complaint about Health Information Uses and Disclosures HFS 3806E (pdf)
Complaint about Health Information Uses and Disclosures HFS 3806ES (pdf) (Spanish)
Notice of Privacy Practice
HFS 3806 (pdf)
Notice of Privacy Practice HFS 3806S (pdf) (Spanish)
Personal Representative Designation HFS3806F (pdf)
Personal Representative Designation HFS 3806FS (pdf) (Spanish)
Request for Access to Health Information HFS 3806L (pdf)
Request for Access to Health Information HFS 3806LS (pdf) (Spanish)
Request for an Accounting of Disclosures of Health Information HFS 3806G (pdf)
Request for an Accounting of Disclosures of Health Information HFS 3806GS (pdf) (Spanish)
Request to Amend Health Information HFS 3806H (pdf)
Request to Amend Health Information HFS 3806HS (pdf) (Spanish)
Request to Contact Client at a Different Address HFS 3806I (pdf)
Request to Contact Client at a Different Address HFS 3806IS (pdf) (Spanish)
Request to Restrict Uses and Disclosures of Health Information HFS 3806J (pdf)
Request to Restrict Uses and Disclosures of Health Information HFS 3806JS (pdf) (Spanish)
Health Insurance Portability and Accountability Act (HIPAA)
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