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DOH Form 669-386 Consent for Release of Information - Washington
What Is DOH Form 669-386?
This is a legal form that was released by the Washington State Department of Health - 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 DOH Form 669-386?A: DOH Form 669-386 is the Consent for Release of Information form.
Q: What is the purpose of DOH Form 669-386?A: The purpose of DOH Form 669-386 is to authorize the release of your medical information.
Q: Who needs to fill out DOH Form 669-386?A: Anyone who wants to authorize the release of their medical information needs to fill out DOH Form 669-386.
Q: Is DOH Form 669-386 only applicable in Washington?A: Yes, DOH Form 669-386 is specific to Washington State.
Q: Are there any fees associated with submitting DOH Form 669-386?A: There may be fees associated with the release of medical records, but this would depend on the healthcare provider's policies.
Q: How long does it take for the information to be released after submitting DOH Form 669-386?A: The timeline for releasing medical information may vary depending on the healthcare provider. It is best to check with them directly.
Q: Can I revoke my consent after submitting DOH Form 669-386?A: Yes, you can revoke your consent for the release of information at any time by notifying your healthcare provider in writing.
Form Details:
- Released on November 1, 2020;
- The latest edition provided by the Washington State Department of 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 DOH Form 669-386 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.
