Form DOC13-035 Authorization for Disclosure of Health Information - Washington

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Form DOC13-035 Authorization for Disclosure of Health Information - Washington

What Is Form DOC13-035?

This is a legal form that was released by the Washington State Department of Corrections - 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 DOC13-035?
A: DOC13-035 is a form used in Washington to authorize the disclosure of health information.

Q: Why would I need to fill out DOC13-035?
A: You would need to fill out DOC13-035 to give permission for your health information to be shared with others.

Q: Who can I authorize to disclose my health information?
A: You can authorize specific individuals or organizations to disclose your health information.

Q: Is DOC13-035 specific to Washington?
A: Yes, DOC13-035 is specific to Washington and is used within the state.

Q: What information is required on DOC13-035?
A: DOC13-035 requires your personal information, the information you want disclosed, and to whom you want it disclosed.

Q: Can I revoke my authorization at any time?
A: Yes, you can revoke your authorization at any time by submitting a written request to the individual or organization who has your health information.

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Form Details:

  • Released on July 17, 2020;
  • The latest edition provided by the Washington State 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 DOC13-035 by clicking the link below or browse more documents and templates provided by the Washington State Department of Corrections.

Download Form DOC13-035 Authorization for Disclosure of Health Information - Washington

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  • Form DOC13-035 Authorization for Disclosure of Health Information - Washington, Page 1
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