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

6
total templates

Documents

6

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

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

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

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

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

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

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

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

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

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

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

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