This is a legal form that was released by the U.S. Department of Health and Human Services on August 1, 2005 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form HHS-720?
A: Form HHS-720 is a request form for a copy of record(s) with the consent of the individual appellant and a third party.
Q: What is the purpose of Form HHS-720?
A: The purpose of Form HHS-720 is to request a copy of record(s) from the Department of Health and Human Services (HHS) with the consent of both the individual appellant and a third party.
Q: Who can use Form HHS-720?
A: Form HHS-720 can be used by individuals who want to obtain a copy of record(s) from HHS, provided that both the individual appellant and a third party provide their consent.
Q: What information is required on Form HHS-720?
A: Form HHS-720 requires the individual appellant's name, contact information, and signature, as well as the third party's name, contact information, and signature.
Form Details:
Download a fillable version of Form HHS-720 by clicking the link below or browse more documents and templates provided by the U.S. Department of Health and Human Services.