Renters and landlords impacted by the COVID-19 pandemic in twelve Arizona counties may now apply for rent and utility assistance through the Emergency Rental Assistance Program. Learn more.
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You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
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| Download | Number | Name | Effective Date |
|---|---|---|---|
|
DES-1037AS | Solicitud de Suspensión del Informe de Información de Salud Confidencial Divulgada (PHI por sus siglas en inglés) | 01/01/2011 |
|
DES-1033A | Individual's Request for Access to Protected Health Information | 01/01/2011 |
|
DES-1036AS | Informe de Información de Salud Confidencial Divulgada (PHI por sus siglas en inglés) | 01/01/2011 |
|
AAA-1100A-S | SCSEP Participant Handbook (Spanish) | 01/01/2011 |
|
DES-1040A | Request for Alternative Means of Communication Protected Health Information | 01/01/2011 |
|
DES-1038A | Request for Amended/Correction of Protected Health Information | 01/01/2011 |
|
DES-1035A | Request for an Accounting of Disclosures of Protected Health Information | 01/01/2011 |
|
DES-1034A | Accounting Disclosure Tracking | 01/01/2011 |
|
DES-1039A | Request for Restriction of Protected Health Information | 01/01/2011 |
|
DES-1036A | Accounting of Disclosures of Protected Health Information | 01/01/2011 |
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