TRS-35 Request to Restrict Use is available in several languages.
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Request to Restrict Use (TRS-35) - English
To be used by patients who wish to to restrict the disclosure of their confidential information.
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Request to Restrict Use (TRS-35) - Arabic
العَرَبِي (Arabic)To be used by patients who wish to restrict the disclosure of their confidential information.
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Request to Restrict Use (TRS-35) - Bengali
বাংলা (Bengali)To be used by patients who wish to to restrict the disclosure of their confidential information.
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Request to Restrict Use (TRS-35) - Chinese
中文翻譯 (Chinese)To be used by patients who wish to restrict the disclosure of their confidential information.
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Request to Restrict Use (TRS-35) - French
French. To be used by patients who wish to restrict the disclosure of their confidential information.
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Request to Restrict Use (TRS-35) - Italian
Traduzione italiana (Italian)To be used by patients who wish to to restrict the disclosure of their confidential information.
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Request to Restrict Use (TRS-35) - Haitian Creole
Tradiksyon kreyòl ayisyen (Haitian Creole)To be used by patients who wish to to restrict the disclosure of their confidential information.
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Request to Restrict Use (TRS-35) - Korean
한국어 번역 (Korean)To be used by patients who wish to to restrict the disclosure of their confidential information.
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Request to Restrict Use (TRS-35) - Polish
Polski (Polish)To be used by patients who wish to restrict the disclosure of their confidential information.
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Request to Restrict Use (TRS-35) - Russian
Перевод на русский язык (Russian)To be used by patients who wish to restrict the disclosure of their confidential information.
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Request to Restrict Use (TRS-35) - Spanish
Traducción al español (Spanish)To be used by patients who wish to restrict the disclosure of their confidential information.
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Request to Restrict Use (TRS-35) - Urdu
Urdu. To be used by patients who wish to restrict the disclosure of their confidential information.
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Request to Restrict Use (TRS-35) - Yiddish
To be used by patients who wish to restrict the disclosure of their confidential information.
Download