This authorization form complies with 45 CFR parts 160 and ...
Santa Clara County Department of Family and Children’s Services (DFCS)** ... 42CRF part 2 and has been approved by the Santa Clara County Office of the County Counsel 9/30/2015. File: 6th Fastener, Right - Middle SCZ 244 Authorization for Disclosure of Protected Health Information – 7/14/2015 Original to Mental Health Provider Page 4 of 4 ... ................
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