Authorization for Release of Information for Uniform Medical Plan (Pebb and Sebb) Members - Washington

Authorization for Release of Information for Uniform Medical Plan (Pebb and Sebb) Members is a legal document that was released by the Washington State Health Care Authority - a government authority operating within Washington.

Form Details:

• Released on January 1, 2023;
• The latest edition currently provided by the Washington State Health Care Authority;
• Ready to use and print;
• Easy to customize;
• Compatible with most PDF-viewing applications;
• Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.