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Get UAB Health System Authorization for Use or Disclosure of Information 2008

Ecords ___Sharing with other health care providers as needed Authorization for Use or Disclosure of Information - UAB Health System Participation in research study Page 1 of 2 The patient or the patient’s representative must read and initial the following statements: I understand that I have a right to revoke this authorization at any time. I understand that if I revoke this authorization, I must do so in writing and present my written revocation to the entity privacy coordinator. I unders.

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