Authorization to Disclose Health Information to Other Providers - Utah
Authorization to Disclose Health Information to Other Providers is a legal document that was released by the Utah Department of Health and Human Services - a government authority operating within Utah.
Form Details:
- Released on October 16, 2018;
- The latest edition currently provided by the Utah Department of Health and Human Services;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Utah Department of Health and Human Services.
