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Get ThedaCare Authorization for the Disclosure of Health Information

AUTHORIZATION FOR THE DISCLOSURE OF HEALTH INFORMATION Photocopy or facsimile of the original authorization will be considered as valid as the original PATIENT Patient Name/ Previous Names associated.

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The times of distressing complex tax and legal documents have ended. With US Legal Forms the whole process of submitting official documents is anxiety-free. A powerhouse editor is directly close at hand providing you with a wide variety of beneficial tools for completing a ThedaCare Authorization for the Disclosure of Health Information. These guidelines, with the editor will help you through the entire procedure.

  1. Click on the orange Get Form option to begin editing.
  2. Switch on the Wizard mode in the top toolbar to get extra recommendations.
  3. Fill each fillable field.
  4. Make sure the information you fill in ThedaCare Authorization for the Disclosure of Health Information is updated and accurate.
  5. Include the date to the sample with the Date function.
  6. Click the Sign icon and make an electronic signature. Feel free to use 3 available alternatives; typing, drawing, or capturing one.
  7. Double-check each area has been filled in properly.
  8. Select Done in the top right corne to save or send the sample. There are various ways for getting the doc. As an instant download, an attachment in an email or through the mail as a hard copy.

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