Loma Linda University Medical Center
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For Health Professionals > Health Information Management > Forms

Forms


  • Release of information authorization form
  • Authorization for disclosure of PHI from a facility outside the LLUAHSC OHCA to a LLUAHSC entity
  • Autorizacion para la revelacion de informacion medica protegid
  • Loma Linda University Medical Center
  • Loma Linda University Children's Hospital
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  • Loma Linda University Heart & Surgical Hospital
  • Loma Linda University
  • 11234 Anderson Street Loma Linda, California 92354 | 1-877-LLUMC-4U
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