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Authorizations - HIPAA - BlueLincs


 

BlueLincs HIPAA Authorization Forms


BlueLincs Authorization to Disclose Protected Health Information PDF File [File: 61 KB] - This form authorizes BlueLincs HMO to disclose protected health information only to those individuals specified by the member. Protected health information is defined by privacy rules enacted under the Health Insurance Portability and Accountability Act (HIPAA) of 1996.