Form IHS-810 Authorization for Use or Disclosure of Protected Health Information

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Form IHS-810 Authorization for Use or Disclosure of Protected Health Information

What Is Form IHS-810?

This is a legal form that was released by the U.S. Department of Health and Human Services - Indian Health Service on April 1, 2016 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form IHS-810?
A: Form IHS-810 is the Authorization for Use or Disclosure of Protected Health Information.

Q: What is the purpose of Form IHS-810?
A: The purpose of Form IHS-810 is to authorize the use or disclosure of protected health information.

Q: Who should use Form IHS-810?
A: Form IHS-810 can be used by individuals who want to authorize the use or disclosure of their protected health information.

Q: What is protected health information?
A: Protected health information includes any information about a person's health or healthcare that can identify the individual.

Q: Is Form IHS-810 specific to the United States?
A: Yes, Form IHS-810 is specific to the United States.

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Form Details:

  • Released on April 1, 2016;
  • The latest available edition released by the U.S. Department of Health and Human Services - Indian Health Service;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form IHS-810 by clicking the link below or browse more documents and templates provided by the U.S. Department of Health and Human Services - Indian Health Service.

Download Form IHS-810 Authorization for Use or Disclosure of Protected Health Information

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