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UW Department of Psychiatry
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Clinical Documents

Authorization for Verbal Communication and/or to Leave Voicemail Messages – Spanish

Posted on March 4, 2024

Authorization for Verbal Communication and/or to Leave Voicemail Messages - Spanish

File: Authorization-for-Verbal-Communication-and-or-to-Leave-Voice-Mail-Messages-Sp-UWH302443S-DT.pdf

Authorization for Disclosure of Protected Health Information – Spanish

Posted on March 4, 2024

Authorization for Disclosure of Protected Health Information - Spanish

File: Authorization-for-Disclosure-of-Protected-Health-Information-Spanish-UWH1280490S-DT.pdf

Authorization for Verbal Communication and/or to Leave Voicemail Messages

Posted on July 9, 2021

Authorization for Verbal Communication and/or to Leave Voicemail Messages

File: Authorization-for-Verbal-Communication-and-or-to-Leave-Voice-Mail-Messages-UWH302443-DT.pdf

Authorization for Disclosure of Protected Health Information

Posted on July 9, 2021

Authorization for Disclosure of Protected Health Information

File: Authorization-for-Disclosure-of-Protected-Health-Information-UWH1280490-DT.pdf

What Authorization Form to Use

Posted on July 9, 2021

What Authorization Form to Use

File: What-Authorization-Form-to-Use.pdf

New Patient History Form

Posted on March 1, 2018

Please complete this form prior to your first appointment

File: Adult-New-Patient-Form.pdf

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