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Avera Medical Group Sibley

• HIPAA Authorization for Disclosure of Health Information
• HIPAA Authorization for Disclosure of Health Information – Spanish

Avera Medical Group Spencer

• HIPAA Authorization for Disclosure of Health Information

Lakes Regional Healthcare

• HIPAA Authorization for Disclosure of Health Information

Avera Granite Falls Health Center

• HIPAA Authorization for Disclosure of Health Information

Avera Marshall Regional Medical Center

• HIPAA Authorization for Disclosure of Health Information

Avera Tyler Healthcare

• HIPAA Authorization for Disclosure of Health Information

Avera St. Anthony’s Hospital

• HIPAA Authorization for Disclosure of Health Information
• HIPAA Authorization for Disclosure of Health Information – Spanish

Avera De Smet Memorial Hospital

• HIPAA Authorization for Disclosure of Health Information

Avera Heart Hospital

• HIPAA Authorization for Disclosure of Health Information

Avera McKennan

• HIPAA Authorization for Disclosure of Health Information
• HIPAA Authorization for Disclosure of Health Information – Spanish

Completed Avera McKennan forms can be faxed to 605-322-8200. For inquiries about the form or process, please call 605-322-8108.

Avera Medical Group Brookings

• HIPAA Authorization for Disclosure of Health Information

Avera Queen of Peace Hospital

• HIPAA Authorization for Disclosure of Health Information

Avera Sacred Heart Hospital

• HIPAA Authorization for Disclosure of Health Information

Avera St. Benedict Health Center

• HIPAA Authorization for Disclosure of Health Information

Avera St. Luke’s Hospital

• HIPAA Authorization for Disclosure of Health Information

Avera St. Mary’s Hospital

• HIPAA Authorization for Disclosure of Health Information