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Your search for forms belonging to Indian Health Service retrieved 6 results.
AGENCY FORM # FORM NAME TYPE REVISED
IHS 810 Authorization For Use or Disclosure of Health Information Both Form and Instructions  Nov 01, 2006
IHS 843 1A Order for Health Services Both Form and Instructions  May 01, 2007
IHS 912 2 Request For Revocation of Restriction(s) Form Only  Nov 01, 2006
IHS 912 1 Request for Restriction(s) Form Only  Nov 01, 2006
IHS 913 Request for an Accounting of Disclosures Form Only  Nov 01, 2006
IHS 917 Request for Correction/Amendment of Protected Health Information Both Form and Instructions  Nov 01, 2006

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