REQUEST FOR INTERFACE TO OR DOWNLOAD OF ePHI

Request for Interface or Download of Restricted Information Page 4 of 4. Office of Compliance Services ... ☐ Notes/Reports ☐ Charge and/or Billing Data ☐ Genomic Information. Special Formats ☐ Digital Images ... For example, ePHI includes all data that may be transmitted over the Internet, or stored on a computer, a CD, a disk, magnetic ... ................
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