Form OP-140108B Revocation of Authorization for Release of Protected Health Information - Oklahoma

Form OP-140108B Revocation of Authorization for Release of Protected Health Information - Oklahoma

What Is Form OP-140108B?

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

FAQ

Q: What is Form OP-140108B?
A: Form OP-140108B is a document used in Oklahoma to revoke the authorization for the release of protected health information.

Q: What is the purpose of Form OP-140108B?
A: The purpose of Form OP-140108B is to revoke the authorization previously given for the release of protected health information.

Q: Who uses Form OP-140108B?
A: Individuals in Oklahoma who have previously authorized the release of their protected health information can use Form OP-140108B to revoke that authorization.

Q: Is Form OP-140108B specific to Oklahoma?
A: Yes, Form OP-140108B is specific to Oklahoma and is used within the state.

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Form Details:

  • Released on September 1, 2021;
  • The latest edition provided by the Oklahoma Department of Corrections;
  • 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 OP-140108B by clicking the link below or browse more documents and templates provided by the Oklahoma Department of Corrections.

Download Form OP-140108B Revocation of Authorization for Release of Protected Health Information - Oklahoma

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  • Form OP-140108B Revocation of Authorization for Release of Protected Health Information - Oklahoma, Page 1
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