div class=ts-pagebutton class=gotoPage data-page=1Page 1button div class=ts-imageimg data-url=hippa-1-hippa-1-hippa-2-authorization-to-disclose-protected-health-informationhtmlpage=1 data-page=1 class=ts-thumb lazyload alt=Page 1: HIPPA-1 · HIPPA-1 HIPPA-2 AUTHORIZATION TO DISCLOSE PROTECTED HEALTH INFORMATION Developed for Texas Health Safety Code § 181154d Please read this entire form before signing loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader033vdocumentssitereader033viewer20220527225f0bf9817e708231d43323cchtml5thumbnails1jpg width=140 height=200 divpHIPPA-1pdivdiv class=ts-pagebutton class=gotoPage data-page=2Page 2button div class=ts-imageimg data-url=hippa-1-hippa-1-hippa-2-authorization-to-disclose-protected-health-informationhtmlpage=2 data-page=2 class=ts-thumb lazyload alt=Page 2: HIPPA-1 · HIPPA-1 HIPPA-2 AUTHORIZATION TO DISCLOSE PROTECTED HEALTH INFORMATION Developed for Texas Health Safety Code § 181154d Please read this entire form before signing loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader033vdocumentssitereader033viewer20220527225f0bf9817e708231d43323cchtml5thumbnails2jpg width=140 height=200 divpHIPPA-2pdiv