Form CW61 Authorization to Release Medical Information - California

What Is Form CW61?

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

FAQ

Q: What is Form CW61 Authorization to Release Medical Information?
A: Form CW61 Authorization to Release Medical Information is a document used in the state of California to allow individuals to authorize the release of their medical information to a specified person or entity.

Q: Why would someone use Form CW61 Authorization to Release Medical Information?
A: Someone would use Form CW61 Authorization to Release Medical Information to give permission for their medical records to be shared with a specific person or organization, such as a healthcare provider, insurance company, or legal representative.

Q: Who can request medical records using Form CW61 Authorization to Release Medical Information?
A: Any individual who is 18 years or older and mentally competent can request their own medical records using Form CW61 Authorization to Release Medical Information.

Q: Can a parent or legal guardian use Form CW61 Authorization to Release Medical Information for a minor child?
A: Yes, a parent or legal guardian can use Form CW61 Authorization to Release Medical Information to request the medical records of a minor child.

Q: Is Form CW61 Authorization to Release Medical Information specific to California?
A: Yes, Form CW61 Authorization to Release Medical Information is specific to the state of California and may not be valid in other states.

Q: Are there any fees associated with using Form CW61 Authorization to Release Medical Information?
A: There may be fees associated with obtaining medical records, depending on the healthcare provider or facility. It is recommended to contact the provider or facility directly to inquire about any fees.

Q: How long is Form CW61 Authorization to Release Medical Information valid for?
A: Form CW61 Authorization to Release Medical Information does not have a specified expiration date. It is recommended to indicate a specific time period or event upon which the authorization will expire, if necessary.

Q: Can Form CW61 Authorization to Release Medical Information be revoked?
A: Yes, the individual who signed Form CW61 Authorization to Release Medical Information has the right to revoke the authorization at any time, in writing.