Protected Health Information Disclosure List Request Form To request a list of the individuals, institutions, or organizations to which BMC has disclosed your protected health information, you must complete, sign and ret

First Page		Document Content
Date: 2012-11-14 10:46:30 Government Medical record Internet privacy Privacy law		Protected Health Information Disclosure List Request Form To request a list of the individuals, institutions, or organizations to which BMC has disclosed your protected health information, you must complete, sign and ret Add to Reading List Source URL: www.bmc.org Download Document from Source Website File Size: 51,98 KB Share Document on Facebook