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Web complete medical release form texas online with us legal forms. A medical records release (hipaa) form is a written authorization for health providers to release information to the patient and someone other than the patient. Web section iii — the individual (or individual's personal representative) signs to authorize release of medical information to hhsc and the texas workforce commission. Web texas statewide medical release form.
This Authorization Expires On — Enter When Benefits Expire. Signature —.
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