U.S. Department of Health and Human Services - Indian Health Service Forms

7
total templates

Documents

7

Form IHS-975 "Request for Ratification of Unauthorized Commitment (Uac)"

Rate (4.7 / 5) 26 votes
Size: 2 MB
10 pages

Form IHS-976 "Purchased/Referred Care Proof of Residency"

Rate (4.3 / 5) 21 votes
Size: 1 MB
3 pages

Form IHS-917 "Request for Correction/Amendment of Protected Health Information"

Rate (4.4 / 5) 102 votes
Size: 1 MB
2 pages

Form IHS-913 "Request for an Accounting of Disclosures"

Rate (4.6 / 5) 34 votes
Size: 1 MB
1 page

Form IHS-963 "Request for Confidential Communication by Alternative Means or Alternate Location"

Rate (4.6 / 5) 70 votes
Size: 1 MB
1 page

Form IHS-912-1 "Request for Restriction(S)"

Rate (4.6 / 5) 8 votes
Size: 1 MB
1 page

Form IHS-912-2 "Request for Revocation of Restriction(S)"

Rate (4.5 / 5) 91 votes
Size: 1 MB
1 page