Form HS-2939A HIPAA Authorization for Release of Medical / Health Information to a 3rd Party - Tennessee (Arabic)

Form HS-2939A HIPAA Authorization for Release of Medical / Health Information to a 3rd Party - Tennessee (Arabic)

This is a legal form that was released by the Tennessee Department of Human Services - a government authority operating within Tennessee.

The document is provided in Arabic. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 1, 2018;
  • The latest edition provided by the Tennessee Department of Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form HS-2939A by clicking the link below or browse more documents and templates provided by the Tennessee Department of Human Services.

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Download Form HS-2939A HIPAA Authorization for Release of Medical / Health Information to a 3rd Party - Tennessee (Arabic)

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  • Form HS-2939A HIPAA Authorization for Release of Medical / Health Information to a 3rd Party - Tennessee (Arabic), Page 1
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