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  • Duke University Authorization To Release Protected Health Information At Duke Student Health Center 2010

Get Duke University Authorization To Release Protected Health Information At Duke Student Health Center 2010-2025

AUTHORIZATION TO RELEASE PROTECTED HEALTH INFORMATION AT DUKE STUDENT HEALTH CENTER Mailing Address: Patient Name: Medical Record Number: Date of Birth: Duke Student Health DUMC 2899 Durham, NC 27710.

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Duke Health integrates the Duke University Health System (all of our hospitals and clinics), Duke University School of Medicine, Duke-NUS Medical School, Duke University School of Nursing, Private Diagnostic Clinic (Duke physicians practice), and incorporates the health and health research programs within the Duke ...

You may also call our patient relations department at 919-681-2020 or send an email. Our representatives are here to: Listen to and follow up on your concerns or complaints. Answer questions or direct your request to the right hospital departments.

Duke University Hospital in Durham, NC is nationally ranked in 11 adult and 9 pediatric specialties and rated high performing in 2 adult specialties and 19 procedures and conditions. It is a general medical and surgical facility. It is a teaching hospital.

To receive appropriate assessment of ,and treatment for, pain; To refuse to participate in research, to refuse treatment to the extent permitted by law, and to be informed of the medical consequences of these actions, including possible dismissal from the study and discharge from the Clinical Center.

Respect and Dignity Each patient has the right to be treated with consideration, respect, and dignity, acknowledging his/her individuality and the values that affect his/her response to care. Patients are treated with kindness, compassion and in a caring manner with honest and open answers.

You have the right to safe, high-quality, medical care, without discrimination, that is compassionate and respects your personal dignity, values, and beliefs. You have the right to participate in and make decisions about your care and pain management, including refusing care, to the extent permitted by law.

Hospital Emergency Codes Fire - Code Red Cardiac Arrest - Code Blue Personal protective equipment (PPE) is Chemical Spill - Code Orange available for your protection & use.

Get Your Records from Duke Health If you have questions, please email ROI-Requestor3@dm.duke.edu or call 919-684-1700 between 8:00 am and 4:30 pm, Monday – Friday.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232