Cottage Grove CardiologyCOTTAGE GROVE CARDIOLOGY, P.c. AUTHORIZATION FOR USE OR DISCLOSURE OF...

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Transcript of Cottage Grove CardiologyCOTTAGE GROVE CARDIOLOGY, P.c. AUTHORIZATION FOR USE OR DISCLOSURE OF...

Page 1: Cottage Grove CardiologyCOTTAGE GROVE CARDIOLOGY, P.c. AUTHORIZATION FOR USE OR DISCLOSURE OF PROTECTED HEALTH nFORMATIOÑ As required by the Health Insurance Portability and Accountability