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Request for Restriction of Use and Disclosure of PHI
Share this request for restriction of use and disclosure of protected health information with your patients to improve your medical services, optimize your internal processes and digitize your business.
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Publish template
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Collect & manage data
See howStreamline responses over a secure SSL connection that this request for restriction of use and disclosure of PHI comes with. Manage all entries in a dedicated database from where you can export your entries in CSV, PDF and Excel. Connect this request for restriction of use and disclosure of PHI with various third-party apps, such as Google Drive, Dropbox and MailChimp. You can also build reports with widgets and grahps that highlight valuable insights.
Optimize your flow
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