Form F-01238 Consent to Release Medical Information Referral to a Regional Center for Children and Youth With Special Health Care Needs (Cyshcn) - Wisconsin

Form F-01238 Consent to Release Medical Information Referral to a Regional Center for Children and Youth With Special Health Care Needs (Cyshcn) - Wisconsin

What Is Form F-01238?

This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form F-01238?
A: Form F-01238 is a document used for consent to release medical information in Wisconsin.

Q: What is the purpose of Form F-01238?
A: The purpose of Form F-01238 is to authorize the release of medical information for referral to a Regional Center for Children and Youth with Special Health Care Needs (CYSHCN) in Wisconsin.

Q: What is a Regional Center for Children and Youth with Special Health Care Needs (CYSHCN)?
A: A Regional Center for Children and Youth with Special Health Care Needs (CYSHCN) is an organization in Wisconsin that provides specialized services and resources for children and youth with special health care needs.

Q: Who needs to fill out Form F-01238?
A: Form F-01238 needs to be filled out by individuals who want to authorize the release of their medical information for referral to a Regional Center for Children and Youth with Special Health Care Needs (CYSHCN) in Wisconsin.

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Form Details:

  • Released on January 1, 2021;
  • The latest edition provided by the Wisconsin Department of Health Services;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form F-01238 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.

Download Form F-01238 Consent to Release Medical Information Referral to a Regional Center for Children and Youth With Special Health Care Needs (Cyshcn) - Wisconsin

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