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 Date: 2010-04-30 14:27:19Primary care Social Security number Health Privacy Internet privacy Social Security Medicine Health Insurance Portability and Accountability Act Patient safety Taxation in the United States Ethics Health care |
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PRIVACY ACT STATEMENT - HEALTH CARE RECORDS THIS FORM IS NOT A CONSENT FORM TO RELEASE OR USE HEALTH CARE INFORMATION PERTAINING TO YOU. 1. AUTHORITY FOR COLLECTION OF INFORMATION INCLUDING SOCIAL SECURITY NUMBER (SSN) S