This is a legal form that was released by the U.S. Department of Health and Human Services - Indian Health Service on April 1, 2009 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form IHS-913?
A: Form IHS-913 is a request for an accounting of disclosures.
Q: Who can use Form IHS-913?
A: Anyone who wants to request information about the disclosure of their health information can use Form IHS-913.
Q: What is an accounting of disclosures?
A: An accounting of disclosures is a record that shows who has received or accessed your health information.
Q: Why would someone request an accounting of disclosures?
A: Someone may request an accounting of disclosures to find out who has received their health information and for what purpose.
Q: Do I need to pay to submit Form IHS-913?
A: No, there is no fee to submit Form IHS-913.
Download a fillable version of Form IHS-913 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.