20 19 CHECKLIST FOR VALID AUTHORIZATION
| Jurisdiction | Arkansas |
| Library | Arkansas Form Book - Complete (2023 Ed.) |
20-19 CHECKLIST FOR VALID AUTHORIZATION
1. Core elements:
? A specific description of the information to be used or disclosed.
? The person(s) or class of persons authorized to use or disclose the information.
? The person(s) or class of persons authorized to receive the information.
? A specific description of each purpose of the requested use or disclosure, unless the patient is initiating the authorization, in which case the patient may decline to offer a purpose and the...
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