Form HCA80-020 Authorization for Release of Information - Washington

What Is Form HCA80-020?

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

FAQ

Q: What is Form HCA80-020?A: Form HCA80-020 is an Authorization for Release of Information form specific to the state of Washington.

Q: What is the purpose of Form HCA80-020?A: The purpose of Form HCA80-020 is to authorize the release of medical information to a specified recipient in Washington.

Q: Who needs to fill out Form HCA80-020?A: Any individual who wants to authorize the release of their medical information in Washington needs to fill out Form HCA80-020.

Q: What information is required on Form HCA80-020?A: Form HCA80-020 requires the individual's name, date of birth, address, and a description of the information to be released.

Q: Is there a fee for submitting Form HCA80-020?A: There is no fee for submitting Form HCA80-020 in Washington.

Q: How long does it take to process Form HCA80-020?A: The processing time for Form HCA80-020 may vary depending on the healthcare provider or facility, but it generally takes a few days to a few weeks.

Q: Can I revoke the authorization provided on Form HCA80-020?A: Yes, you can revoke the authorization provided on Form HCA80-020 at any time by submitting a written request to the healthcare provider or facility.

Q: What are the consequences of not submitting Form HCA80-020?A: If you choose not to submit Form HCA80-020, your medical information will not be released to the specified recipient.

Q: Is Form HCA80-020 specific to Washington only?A: Yes, Form HCA80-020 is specific to the state of Washington and may not be applicable in other states.