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Does IHS have a standard form for patients to release of information from their patient medical record?

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Does IHS have a standard form for patients to release of information from their patient medical record?

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Yes. The form is the IHS-810, “Authorization for Release of Information”. In order to maintain consistency, IHS staff are required to use this form. As with other authorized agency forms, this form may not be changed, modified, or altered in any manner except by the IHS forms committee.

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