Get Member Authorization To Release Phi Forms - Molina Healthcare

How to fill out and sign PHI online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

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3. Fill out all the requested fields (they will be yellowish).
4. The Signature Wizard will allow you to put your e-signature right after you?ve finished imputing info.
5. Insert the date.
6. Double-check the entire template to ensure you have filled out all the information and no changes are required.
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