This is a legal form that was released by the New York State Department of Transportation - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form HC93?A: Form HC93 is a General Use Release form in the state of New York.
Q: What is the purpose of Form HC93?A: The purpose of Form HC93 is to obtain a release or authorization from an individual to disclose or release private information.
Q: Who needs to fill out Form HC93?A: Form HC93 needs to be filled out by individuals who want to authorize the release of their private information.
Q: What information is required on Form HC93?A: Form HC93 requires the individual's name, address, birth date, and a description of the specific information to be released.
Q: Is Form HC93 specific to mental health records?A: No, Form HC93 can be used to authorize the release of any private information, not just mental health records.
Q: Is there a fee for submitting Form HC93?A: There is no fee for submitting Form HC93.
Q: How long does it take for a release to take effect?A: The release takes effect as soon as it is signed and submitted, unless a specific date or duration is specified.
Q: Can I revoke a release that I previously authorized?A: Yes, you can revoke a release by submitting a written notice to the recipient of the released information. However, this may not affect information that was already disclosed.
Q: Are there any exceptions to the release of private information?A: Yes, there are exceptions such as court orders, certain health emergencies, and situations involving abuse or neglect of a child or vulnerable adult.
Form Details:
Download a fillable version of Form HC93 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the New York State Department of Transportation.