DSHS Form 27-168 Authorization of Disclosure - Washington (English / Russian)

DSHS Form 27-168 Authorization of Disclosure - Washington (English / Russian)

What Is DSHS Form 27-168?

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

FAQ

Q: What is DSHS Form 27-168?A: DSHS Form 27-168 is a form used in Washington to authorize the disclosure of information.

Q: Who uses DSHS Form 27-168?A: This form is used by individuals in Washington who want to allow the disclosure of their information.

Q: What information can be disclosed with DSHS Form 27-168?A: The form allows for the disclosure of personal information, such as medical records or financial information.

Q: Is DSHS Form 27-168 available in different languages?A: Yes, DSHS Form 27-168 is available in both English and Russian.

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Form Details:

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

Download a printable version of DSHS Form 27-168 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.

Download DSHS Form 27-168 Authorization of Disclosure - Washington (English / Russian)

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  • DSHS Form 27-168 Authorization of Disclosure - Washington (English / Russian), Page 1
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