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Get US Acute Care Solutions Authorization For Use And Disclosure Of Protected Health Information

Alth care providers to protect your health information. US Acute Care Solutions (USACS) provides billing and management services for affiliated or contracted healthcare providers, who provide acute medical services. I authorize USACS and/or its employees or agents, including the treating physician or other health care providers, to release and disclose my Protected Health Information ("PHI") under the restrictions and conditions in this Authorization Form. Section A: Patient Information Complet.

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