PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
Form AUTH1
for the current year.
Form AUTH1 Authorization to Disclose Protected Health Information - West Virginia
What Is Form AUTH1?
This is a legal form that was released by the West Virginia Public EmployeesInsurance Agency - a government authority operating within West Virginia. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is AUTH1 Authorization to Disclose Protected Health Information?A: AUTH1 Authorization to Disclose Protected Health Information is a form used in West Virginia to grant permission for the release of protected health information.
Q: Who needs to fill out AUTH1 Authorization to Disclose Protected Health Information?A: Any individual or entity who wants to disclose protected health information needs to fill out AUTH1 Authorization to Disclose Protected Health Information.
Q: What is the purpose of AUTH1 Authorization to Disclose Protected Health Information?A: The purpose of AUTH1 Authorization to Disclose Protected Health Information is to ensure that the release of protected health information complies with the Health Insurance Portability and Accountability Act (HIPAA) and other relevant laws.
Q: Is AUTH1 Authorization to Disclose Protected Health Information specific to West Virginia?A: Yes, AUTH1 Authorization to Disclose Protected Health Information is specific to West Virginia and is used to comply with state laws regarding the release of protected health information.
Form Details:
- Released on June 1, 2019;
- The latest edition provided by the West Virginia Public Employees Insurance Agency;
- 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 AUTH1 by clicking the link below or browse more documents and templates provided by the West Virginia Public Employees Insurance Agency.
