This is a legal form that was released by the Nevada Department of Health and Human Services - a government authority operating within Nevada. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the Form AW-18?
A: The Form AW-18 is a Release of Protected Health (PHI) Consent Form.
Q: Who is the form for?
A: The form is for individuals in Nevada who need to give consent for the release of their protected health information (PHI).
Q: What is protected health information (PHI)?
A: Protected health information (PHI) includes any health information that can be used to identify an individual, such as medical records, diagnoses, and treatment history.
Q: Why would someone need to release their PHI?
A: Someone may need to release their PHI for various reasons, such as sharing medical information with another healthcare provider, applying for disability benefits, or authorizing a family member to access their health records.
Q: Is the Form AW-18 specific to Nevada?
A: Yes, the Form AW-18 is specific to Nevada and complies with the state's laws regarding the release of protected health information.
Q: Is the Form AW-18 legally binding?
A: Yes, once signed, the Form AW-18 is a legally binding document that authorizes the release of protected health information (PHI) as specified.
Q: Are there any restrictions on the release of PHI?
A: Yes, there may be restrictions on the release of PHI depending on state and federal laws, as well as the individual's specific instructions provided on the Form AW-18.
Form Details:
Download a printable version of Form AW-18 by clicking the link below or browse more documents and templates provided by the Nevada Department of Health and Human Services.