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Ref-00721 Patient Information Request
ref form 64k-1.003 Patient Info Request.pdf
Patient Information Request Form DH 2143, 12/10 Rule 64K-1.003, F.A.C.
10/25/2011
Visit the Official Version
Agency:
Department of Health
64K. Prescription Drug Monitoring Program
Description:
Patient Information Request Form DH 2143, 12/10 Rule 64K-1.003, F.A.C.
Related Rules
64K-1.003 Accessing Database
Related Notices
16527847.To strengthen accountability measures for safekeeping of confidential prescription information and to update materials incorporated by reference.
