The undersigned health attention helper hereby authorizes Lab Corp and its subsidiaries to move patient sheltered health information (PHI) as settled by HIPAA (Health Insurance movability and Accountability Act of 1996) to the fax signal listed below. Additionally, the undersigned health precaution provider understands that it has deemed such as sending is required for the purposes of eudaimonia care treatment, payment, and/or health care operations. The undersigned welfare predicament provider may annul this authorization or occurrence the fax number, provided that the undersigned health care provider gives Lab Corp reasonable written notice.
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