Form HS-3522 Crevaa Client Release of Information - Tennessee
Form HS-3505 Crest/Crevaa/Specific Assistance Referral - Tennessee
Form HS-2939 HIPAA Authorization for Release of Medical/Health Information to 3rd Party - Tennessee
Form HS-2939S HIPAA Authorization for Release of Medical/Health Information to a 3rd Party - Tennessee (Somali)
Form HS-2939A HIPAA Authorization for Release of Medical/Health Information to a 3rd Party - Tennessee (Arabic)
Form HS-2938 General Authorization for Release of Information by the Tennessee Department of Human Services to a 3rd Party - Tennessee
Form HS-2940 General Authorization for Release of Information to the Tennessee Department of Human Services - Tennessee
Form HS-2937 Parent/Guardian Authorization for the Tennessee Department of Education or Local Education Agency to Release School Attendance Records - Tennessee
Form HS-2755 Client Complaint - Tennessee
Formulario HS-2939SP Autorizacion HIPAA Divulgacion De Informacion Medica O De Salud a Terceros - Tennessee (Spanish)
Formulario HS-2940S Autorizacion General Para Divulgacion De Informacion Al Departamento De Servicios Humanos De Tennessee - Tennessee (Spanish)
Formulario HS-2938S Autorizacion General Otorgada Al Departamento De Servicios Humanos De Tennessee Para Divulgacion De Informacion a Terceros - Tennessee (Spanish)
Authorization to Release Information
DA Form 5018 Asap Client's Consent Statement for Release of Treatment Information
Hip Authorization to Release Information
DA Form 5018-R Adapcp Client's Consent Statement for Release of Treatment Information (LRA)
Form SSA-3288 Consent for Release of Information
DD Form 2266 Hometown News Release Information
DA Form 5459 Authorization to Release Information From Army Records on Nonsupport/Child Custody/Parentage Inquiries
Form RD3550-1 Authorization to Release Information
Form BIA-DWP-Irr-102 Request for Customer Information
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