Ihs 810 Form. If a form does not display, please download, save, and open the file in adobe acrobat. Authorization for use or disclosure of protected health.
Parts Catalog > Canon > iR2420 > page 21
The following is a list of ihs patient forms that have been approved by omb. Department of health and human services. Authorization for administration of anesthesia and for performance of operations or other procedures* Authorization for use or disclosure of protected health. 4/30/2016 see omb statement on reverse. If a form does not display, please download, save, and open the file in adobe acrobat.
The following is a list of ihs patient forms that have been approved by omb. If a form does not display, please download, save, and open the file in adobe acrobat. Authorization for administration of anesthesia and for performance of operations or other procedures* The following is a list of ihs patient forms that have been approved by omb. 4/30/2016 see omb statement on reverse. Department of health and human services. Authorization for use or disclosure of protected health.
