HealthMark Group
 

Forms

Medical Record Authorization
Please complete the authorization and submit it to your physician’s office or hospital’s medical record department via fax or mail.
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Business Associate Agreement
Prior to commencing work, a business associate agreement must be executed.
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General Affidavit
A fully-executed affidavit can be used in lieu of appearing in court under certain circumstances.
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Additional Resources

Texas Board of Medical Examiners 165
2011-2012 Texas Health and Safety Code 241.154
American Recovery and Reinvestment Act of 2009