Authorization to Disclose Health Information for the Division of Medicaid and Health Financing and the Department of Workforce Services - Utah

Authorization to Disclose Health Information for the Division of Medicaid and Health Financing and the Department of Workforce Services - Utah

Authorization to Disclose Health Information for the Division of Medicaid and Health Financing and the Department of Workforce Services 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 July 1, 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.

ADVERTISEMENT

Download Authorization to Disclose Health Information for the Division of Medicaid and Health Financing and the Department of Workforce Services - Utah

4.4 of 5 (32 votes)
  • Authorization to Disclose Health Information for the Division of Medicaid and Health Financing and the Department of Workforce Services - Utah, Page 1
ADVERTISEMENT