HRS-7048 – Notice of Privacy Practices (HIPAA)
HRS-7048 – Notice of Privacy Practices (HIPAA)
Media Category: Member and Retiree Forms
BEN-0050 – Reemployed Retiree Payment Application
BEN-0050 – Reemployed Retiree Payment Application
DIS – Medical Release – HIPPA Auth Dr to SERS
DIS – Medical Release – HIPPA Auth Dr to SERS
MBS-0002 – Authorization for Release of Info
MBS-0002 – Authorization for Release of Info
