Resources

Service Agreement

This service agreement is a legal document that outlines the terms and conditions between a case management service provider and a client. The agreement is intended to ensure that the client receives appropriate care and support while protecting the rights and interests of the case management service provider.

Authorization To Release Medical Information / Personal Health Information

Authorization to Release Medical Information or Personal Health Information is a legal document that allows a person or entity to access and disclose someone’s protected health information (PHI) or medical records. The document must be signed by the individual or their authorized representative to grant permission for the release of information.

This authorization includes information about the individual’s medical history, diagnoses, treatments, medications, and any other health-related information. It also includes personal information, such as the individual’s name, date of birth, social security number, and contact information.

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Resources

Service Agreement

Authorization To Release Medical Information / Personal Health Information

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