DSHS Form 27-210 Dda Authorization for Release of Referral Video - Washington

DSHS Form 27-210 Dda Authorization for Release of Referral Video - Washington

What Is DSHS Form 27-210?

This is a legal form that was released by the Washington State Department of Social and Health Services - 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 the DSHS Form 27-210?A: The DSHS Form 27-210 is a form used by the Washington State Department of Social and Health Services (DSHS) for authorization of release of referral videos.

Q: What is the purpose of the DSHS Form 27-210?A: The purpose of the DSHS Form 27-210 is to obtain consent from the individual or guardian for the release of referral videos to specific parties.

Q: Who uses the DSHS Form 27-210?A: The DSHS Form 27-210 is used by the Washington State Department of Social and Health Services (DSHS).

Q: What is a referral video?A: A referral video is a video recording made during a referral process for services provided by DSHS.

Q: Why is authorization needed for the release of referral videos?A: Authorization is needed to ensure that referral videos are only shared with authorized parties and to protect the privacy and confidentiality of the individuals involved.

Q: Who can authorize the release of referral videos?A: The individual or their legal guardian can authorize the release of referral videos.

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Form Details:

  • Released on July 1, 2022;
  • The latest edition provided by the Washington State Department of Social and Health Services;
  • 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 DSHS Form 27-210 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.

Download DSHS Form 27-210 Dda Authorization for Release of Referral Video - Washington

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