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This version of the form is not currently in use and is provided for reference only. Download this version of
Form IHS-913
for the current year.
Form IHS-913 Request for an Accounting of Disclosures
What Is Form IHS-913?
This is a legal form that was released by the U.S. Department of Health and Human Services - Indian Health Service on April 1, 2009 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form IHS-913?
A: Form IHS-913 is a request for an accounting of disclosures.
Q: Who can use Form IHS-913?
A: Anyone who wants to request information about the disclosure of their health information can use Form IHS-913.
Q: What is an accounting of disclosures?
A: An accounting of disclosures is a record that shows who has received or accessed your health information.
Q: Why would someone request an accounting of disclosures?
A: Someone may request an accounting of disclosures to find out who has received their health information and for what purpose.
Q: Do I need to pay to submit Form IHS-913?
A: No, there is no fee to submit Form IHS-913.
Form Details:
- Released on April 1, 2009;
- The latest available edition released by the U.S. Department of Health and Human Services - Indian Health Service;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form IHS-913 by clicking the link below or browse more documents and templates provided by the U.S. Department of Health and Human Services - Indian Health Service.
