1. Import into your account
View this request for restriction of use and disclosure of phi and click on "use template" after making sure this is what you are looking for.
Request for Restriction of Use and Disclosure of PHI
Are you seeking a tool to gather, organize and track your healthcare requests? This request for restriction of use and disclosure of PHI template will help you to create your own form. Open this ready-made template, use it as a base for your own form, make customizations, and share it with your target audience. Click the ‘’Use Template’’ button to get started!How to use this request for restriction of use and disclosure of phi
2. Customize however you like
Add or remove questions through forms.app's drag & drop interface and match your brand style.
3. Share it on all channels
Customize the URL, change the access levels, create a QR code, or get the embed code.
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