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.

Form Details:

• Released on July 1, 2022;
• 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.