| Document Date: 2014-03-31 17:47:56 Open Document File Size: 33,43 KBShare Result on Facebook
City Lubbock / / Facility UNIVERSITY MEDICAL CENTER AUTHORIZATION TO DISCLOSE PROTECTED HEALTH INFORMATION IDENTITY OF PATIENT Patient Name / University Medical Center / / IndustryTerm behavioral and mental health services / insurance / / MedicalCondition infection / sexually transmitted disease / HIV / drug abuse / AIDS / / Organization University Medical Center / World Health Organization / / Position Attorney / Representative / Records Custodian / Health Information Management / / ProvinceOrState Texas / /
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