Compliance Archives

ਗਠਜੋੜ ਪਾਲਣਾ ਯੋਜਨਾ
Pending 2024 Review, Rebecca Seligman
Modified: 8/30/2024

AUTORIZACIÓN DEL MIEMBRO PARA UTILIZAR O REVELAR INFORMACIÓN MÉDICA PROTEGIDA
Pending 2024 Review, Rebecca Seligman
Modified: 6/25/2021

Compliance Plan with additional 2024 Contract Revisions -8.31.2023 – HM
Pending 2024 Review, Rebecca Seligman
Modified: 8/30/2024

Compliance Plan with additional 2024 Contract Revisions -8.31.2023 – SP
Pending 2024 Review, Rebecca Seligman
Modified: 8/30/2024

CORP_Delegation-Model_D_EN
Pending 2024 Review, Rebecca Seligman
Modified: 10/4/2023

DAIM FOOS RHO NPE-TAWM NYOB RAU KEV SIB PAUV NTAUB NTAWV KUAJ MOB NKEEG

DAIM FOOS RHO NPE-TAWM NYOB RAU KEV SIB PAUV NTAUB NTAWV KUAJ MOB NKEEG
Pending 2024 Review, Rebecca Seligman
Modified: 6/26/2021

Daim Ntawv Foos Thov Tus Kheej Rau Ib Tus Neeg Sawv Cev
Pending 2024 Review, Rebecca Seligman
Modified: 6/25/2021

DAIM NTAWV THOV SAIB COV NTAUB NTAWV TEEV TSEG

DAIM NTAWV THOV SAIB COV NTAUB NTAWV TEEV TSEG
Ka Vang, Pending 2024 Review, Rebecca Seligman
Modified: 2/7/2022

FORMULARIO DE SOLICITUD DE ACCESO A ARCHIVOS

FORMULARIO DE SOLICITUD DE ACCESO A ARCHIVOS
Ka Vang, Pending 2024 Review, Rebecca Seligman
Modified: 2/7/2022

Formulario de Solicitud de un Representante Personal
Pending 2024 Review, Rebecca Seligman
Modified: 7/1/2021

FORMULARIO PARA NO PARTICIPAR EN EL INTERCAMBIO DE INFORMACIÓN DE SALUD

FORMULARIO PARA NO PARTICIPAR EN EL INTERCAMBIO DE INFORMACIÓN DE SALUD
Pending 2024 Review, Rebecca Seligman
Modified: 6/26/2021

ਸਿਹਤ ਜਾਣਕਾਰੀ ਐਕਸਚੇਂਜ ਔਪਟ-ਆਊਟ ਫਾਰਮ

ਸਿਹਤ ਜਾਣਕਾਰੀ ਐਕਸਚੇਂਜ ਔਪਟ-ਆਊਟ ਫਾਰਮ
Pending 2024 Review, Rebecca Seligman
Modified: 6/26/2021

ਸੁਰੱਖਿਅਤ ਸਿਹਤ ਜਾਣਕਾਰੀ ਦੀ ਵਰਤੋਂ ਜਾਂ ਪ੍ਰਗਟ ਕਰਨ ਲਈ ਮੈਂਬਰ ਦਾ ਅਧਿਕਾਰ
Pending 2024 Review, Rebecca Seligman
Modified: 6/25/2021

NoticePrivacyPractice_2021
Ka Vang, Pending 2024 Review, Rebecca Seligman
Modified: 6/20/2022

NoticePrivacyPractice_2021_HM
Ka Vang, Pending 2024 Review, Rebecca Seligman
Modified: 6/20/2022

NoticePrivacyPractice_2021_SP
Ka Vang, Pending 2024 Review, Rebecca Seligman
Modified: 6/20/2022

Personal_Representative_Request_Form_EN
Pending 2024 Review, Rebecca Seligman
Modified: 6/25/2021

RECORDS ACCESS REQUEST FORM

RECORDS ACCESS REQUEST FORM
Ka Vang, Pending 2024 Review, Rebecca Seligman
Modified: 2/7/2022

TSWVCUAB DAIM NTAWV TSO CAI SIV LOSSIS QHIA TAWM COV NTAUB NTAWV KUAJ MOB NKEEG TXWV TSIS PUB QHIA TAWM YOG TSIS TAU KEV TSO CAI
Pending 2024 Review, Rebecca Seligman
Modified: 6/25/2021

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