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In addition, the type of media on which information is recorded is also expanding. Often used in conjunction with an RIS to execute the radiology workflow efficiently. For Family Name, instead of client name use the following options if applicable. Enter the reason why the client is revoking this authorization. It is best suited for solo practitioners and is HIPAA compliant.

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To request an amendment to your medical record information, please click onto the following link and complete the attached form.

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      Make sure to check off the items on the checklist once they have been completed. Select the language the client would like to have the Authorization printed. Look for the client that should not be on your caseload.

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