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Form OP-140108A Authorization for Release of Protected Health Information - Oklahoma
What Is Form OP-140108A?
This is a legal form that was released by the Oklahoma Department of Corrections - a government authority operating within Oklahoma. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form OP-140108A?
A: Form OP-140108A is an authorization form used in Oklahoma for the release of protected health information.
Q: Who needs to fill out Form OP-140108A?
A: Form OP-140108A needs to be filled out by the individual who wants to authorize the release of their protected health information.
Q: What is the purpose of filling out Form OP-140108A?
A: The purpose of filling out Form OP-140108A is to give consent for the release of protected health information to a specified recipient or entity.
Q: What information is required on Form OP-140108A?
A: Form OP-140108A requires the individual's personal information, the recipient or entity receiving the information, a description of the information to be released, and the purpose for the release.
Q: Is Form OP-140108A specific to Oklahoma?
A: Yes, Form OP-140108A is specific to Oklahoma and is used for authorizing the release of protected health information in that state.
Form Details:
- Released on August 1, 2020;
- The latest edition provided by the Oklahoma Department of Corrections;
- 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 OP-140108A by clicking the link below or browse more documents and templates provided by the Oklahoma Department of Corrections.
Download Form OP-140108A Authorization for Release of Protected Health Information - Oklahoma
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