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HIPAA General Authorization Form

HIPAA General Authorization Form


Release Date: 
September 23, 2013
Responsible Offices: 
Employee Benefits

Contact Info

Related Info

UT System Links: 

Document Information

General Authorization for the Use and Disclosure of Protected Health Information © 2015 The University of Texas System.
601 Colorado Street, Austin, Texas 78701-2982. (512)499-4200