Forms
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Request Form - Authorization Order
Request Form - Subpoena Orders
Facility Authorizations:
Cedars Sinai Medical Center-Medical records authorization
Childrens-hospital-Authorization-to-Release-Health-Info-English
Community-Medical -Center-MedRecords-AuthDisclosureForm-English
Cottage_Health_ROI_authorization_Form_English
Community Hospital of San Bernardino
Department Of Veteran Affairs-Release of information authorization
Desert Regional Medical Center Authorization
Dignity Health - Medical Records Authorization
El Camino Hospital-Medical records authorization
General Medical Records HIPPA authorization
Healthcare Partners Medical Group Authorization
Hoag Hospital - medical records authorization
Hoag Memorial Hospital Authorization
John Muir Health-medical records authorization
Kaiser Permanente-medical records authorization
Keck Hospital USC-mediical records authorization
Los Angeles Fire Department-medical records authorization
Los Alamitos Medical Center Authorization
Los Robles Medical Center-medical records authorization
Placentia Linda Hospital - medical records authorization
Pomona Valley Hospital Medical Center Authorization
Providence Health - medical records authorization - Burbank-Torrance-Mission Hills
Riverside Community Hospital-medical records authorization
San Francisco Fire Department-medical records authorization
St Jude Medical Center-medical records authorization
Stanford Hospital - medical records authorization
UC San Diego Health-medical records authorization
UCLA health Systems & Medical Centers,Groups-medical records authorization
