DHHS Form 1282 Authorization for Release of Information and Appointment of Authorized Representative for Medicaid Applications / Reviews and Appeals - South Carolina

DHHS Form 1282 Authorization for Release of Information and Appointment of Authorized Representative for Medicaid Applications / Reviews and Appeals - South Carolina

What Is DHHS Form 1282?

This is a legal form that was released by the South Carolina Department of Health and Human Services - a government authority operating within South Carolina. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2018;
  • The latest edition provided by the South Carolina Department of Health and Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of DHHS Form 1282 by clicking the link below or browse more documents and templates provided by the South Carolina Department of Health and Human Services.

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Download DHHS Form 1282 Authorization for Release of Information and Appointment of Authorized Representative for Medicaid Applications / Reviews and Appeals - South Carolina

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