Phone:
800-660-1014
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Authorization for Release of Health - HIPAA
Updated On: Jul 23, 2021
Authorization for Release of Health Information Form (HIPAA)
Download:
HIPAA Release Form 1-2020.pdf
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Contact Info
Local 1014 Medical Plan
3460 Fletcher Avenue
El Monte, CA 91731
800-660-1014
626-401-3406
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