This is a legal form that was released by the U.S. Department of Housing and Urban Development on August 1, 1997 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form HUD-25015-A?
A: Form HUD-25015-A is a consent form for the release of patient information.
Q: Which organization uses Form HUD-25015-A?
A: Form HUD-25015-A is used by the U.S. Department of Housing and Urban Development (HUD).
Q: What does Form HUD-25015-A authorize?
A: Form HUD-25015-A authorizes the release of patient information during or after a medical examination.
Q: Who must sign Form HUD-25015-A?
A: The patient or their legal representative must sign Form HUD-25015-A.
Q: When is Form HUD-25015-A used?
A: Form HUD-25015-A is used when there is a need to disclose the patient's medical information for housing-related purposes.
Q: Is Form HUD-25015-A mandatory?
A: Form HUD-25015-A is mandatory for individuals seeking housing assistance from HUD.
Download a fillable version of Form HUD-25015-A Appendix 2 by clicking the link below or browse more documents and templates provided by the U.S. Department of Housing and Urban Development.