Form T-1A Physician's Medical Release Form - Kentucky

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form T-1A for the current year.

Form T-1A Physician's Medical Release Form - Kentucky

What Is Form T-1A?

This is a legal form that was released by the Kentucky Law Enforcement Council - a government authority operating within Kentucky. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the Form T-1A?A: Form T-1A is a Physician's Medical Release Form in Kentucky.

Q: Who needs to use Form T-1A?A: This form needs to be used by individuals who require the release of their medical information.

Q: What is the purpose of Form T-1A?A: The purpose of Form T-1A is to authorize the release of medical information from a physician.

Q: Do I need to fill out Form T-1A for every physician?A: Yes, you will need to complete a separate Form T-1A for each physician you want to release medical information from.

Q: Are there any fees associated with Form T-1A?A: No, there are no fees associated with Form T-1A.

Q: How should I submit Form T-1A?A: You can submit Form T-1A directly to your physician or their office staff.

Q: Can I fax or email Form T-1A?A: It is best to check with your physician's office to see if they accept faxed or emailed forms.

Q: What information do I need to provide on Form T-1A?A: You will need to provide your personal information, such as name, address, and contact information, as well as specify the physician and dates of treatment.

Q: How long does it take to process Form T-1A?A: The processing time may vary, so it is best to contact your physician's office for more information.

ADVERTISEMENT

Form Details:

  • Released on March 1, 2020;
  • The latest edition provided by the Kentucky Law Enforcement Council;
  • 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 T-1A by clicking the link below or browse more documents and templates provided by the Kentucky Law Enforcement Council.

Download Form T-1A Physician's Medical Release Form - Kentucky

4.6 of 5 (7 votes)
  • Form T-1A Physicians Medical Release Form - Kentucky, Page 1
ADVERTISEMENT