DOEA Form 183 Request for Restriction on Use & Disclosure of Medical Information and / or Confidential Communication - Florida

What Is DOEA Form 183?

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

FAQ

Q: What is a DOEA Form 183?
A: DOEA Form 183 is a document used in Florida to request a restriction on the use and disclosure of medical information and/or confidential communication.

Q: Why would I need to use DOEA Form 183?
A: You would need to use DOEA Form 183 if you want to restrict the use and disclosure of your medical information or confidential communication in Florida.

Q: How do I fill out DOEA Form 183?
A: To fill out DOEA Form 183, you need to provide your personal information, specify the information or communication you want to restrict, and explain the reasons for the restriction.

Q: What happens after I submit DOEA Form 183?
A: After you submit DOEA Form 183, the relevant healthcare providers or organizations will be notified of your request and will have to comply with the restrictions you specified.

Q: Is there a fee for submitting DOEA Form 183?
A: There is no fee for submitting DOEA Form 183. It is a free form provided by the Department of Elder Affairs.

Q: Can I withdraw my request for restriction on use and disclosure of medical information?
A: Yes, you can withdraw your request for restriction by submitting a written request to the healthcare providers or organizations involved.