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Form ADPH-CHR-6A Authorization for Disclosure / Request of Protected Health Information (Phi) - Alabama
What Is Form ADPH-CHR-6A?
This is a legal form that was released by the Alabama Department of Public Health - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form ADPH-CHR-6A?A: Form ADPH-CHR-6A is an Authorization for Disclosure/Request of Protected Health Information (PHI) in Alabama.
Q: What is the purpose of Form ADPH-CHR-6A?A: The purpose of Form ADPH-CHR-6A is to authorize the disclosure or request of protected health information (PHI) in Alabama.
Q: What does PHI stand for?A: PHI stands for Protected Health Information.
Q: Who can use Form ADPH-CHR-6A?A: Any individual or entity who wants to disclose or request PHI in Alabama can use Form ADPH-CHR-6A.
Q: Is Form ADPH-CHR-6A specific to Alabama?A: Yes, Form ADPH-CHR-6A is specific to Alabama.
Form Details:
- Released on January 1, 2003;
- The latest edition provided by the Alabama Department of Public Health;
- 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 printable version of Form ADPH-CHR-6A by clicking the link below or browse more documents and templates provided by the Alabama Department of Public Health.
