| Uses and Disclosures for Treatment; Payment; and H PHI and Support Groups What should I do if I want to obtain a list of patients (e.g. including names, address, and phone number) that are in my clinic who have a diagnosis for which I would like to start a UCLA Health Sciences sponsored support group?You should use the “Request to Interface or Download Restricted Information” form to request patient information for the purpose of providing patients with information about a support group operating from a patient’s clinic. The Form should be faxed to the Office of Compliance Services at 310-794-2856 for review.2 | |
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