DDU Form 900 Authorization for Release of Protected Health Information - New Hampshire

What Is DDU Form 900?

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

FAQ

Q: What is DDU Form 900?
A: DDU Form 900 is an Authorization for Release of Protected Health Information.

Q: Who needs to complete DDU Form 900?
A: Any individual or entity that wants to request the release of protected health information from New Hampshire.

Q: What is the purpose of DDU Form 900?
A: The purpose of DDU Form 900 is to obtain permission to release protected health information to a specified recipient.

Q: What information is required on DDU Form 900?
A: DDU Form 900 requires information such as the patient's name, date of birth, the specific information being released, the recipient's name and contact information, and the purpose of the release.

Q: Is there a fee for submitting DDU Form 900?
A: No, there is no fee for submitting DDU Form 900.

Q: How long does it take to process DDU Form 900?
A: The processing time for DDU Form 900 may vary, but it is typically processed within a few business days.

Q: Is DDU Form 900 specific to New Hampshire?
A: Yes, DDU Form 900 is specific to the state of New Hampshire and may not be applicable in other states.

Q: Who can receive the released protected health information?
A: The released protected health information can only be received by the recipient specified on the DDU Form 900.