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Available Forms for Download
[These forms can be filled out online, and then printed.]

Authorization for Release of Information
Medication Distribution Authorization

 

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E-Mail:NDSU.HIPAA@ndsu.edu
Lois Christianson, Privacy Officer
HIPAA (Health Insurance Portability and Accountability Act)
Old Main 202, PO Box 5011
North Dakota State University, Fargo, ND 58105-5011
Phone: 701-231-6446