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AuthorizationĀ for ReleaseĀ of ProtectedĀ Health Information (CA)
ThisĀ CaliforniaĀ HIPAA release formĀ enables patients to permit any person or 3rd party organization to have access to their personal health records, andĀ also optionally allows healthcare providers to share health information with each other. This release form can be revoked and/or reassigned at any time.Ā The form is compliant with both local Californian regulations and federal regulations.