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Form DOC13-555 Authorization for Disclosure of Health Information on Behalf of Patient - Washington
What Is Form DOC13-555?
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 form DOC13-555?
A: Form DOC13-555 is an Authorization for Disclosure of Health Information on Behalf of Patient in Washington.
Q: What is the purpose of form DOC13-555?
A: The purpose of form DOC13-555 is to authorize the disclosure of health information on behalf of a patient in Washington.
Q: Who can use form DOC13-555?
A: Any person who is authorized to make healthcare decisions on behalf of a patient in Washington can use form DOC13-555.
Q: What information is disclosed with form DOC13-555?
A: Form DOC13-555 authorizes the disclosure of the patient's health information to specified individuals or organizations.
Q: Is form DOC13-555 specific to Washington?
A: Yes, form DOC13-555 is specific to Washington and is not applicable in other states.
Form Details:
- Released on January 7, 2021;
- 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 DOC13-555 by clicking the link below or browse more documents and templates provided by the Washington State Department of Corrections.
