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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
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Document Date: 2010-04-30 14:27:19
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File Size: 302,60 KB
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IndustryTerm
law enforcement /
/
MedicalCondition
communicable disease /
/
Organization
AUTHORITY FOR COLLECTION OF INFORMATION INCLUDING SOCIAL SECURITY NUMBER /
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Position
Executive /
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SocialTag
Primary care
Social Security number
Health
Privacy
Internet privacy
Social Security
Medicine
Health Insurance Portability and Accountability Act
Patient safety
Taxation in the United States