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Form RS6429 Authorization for Release of Health Information Pursuant to Hipaa - New York
What Is Form RS6429?
This is a legal form that was released by the Office of the New York State Comptroller - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the RS6429 form?
A: The RS6429 form is the Authorization for Release of Health Information Pursuant to Hipaa - New York.
Q: What is the purpose of the RS6429 form?
A: The purpose of the RS6429 form is to authorize the release of health information in compliance with HIPAA.
Q: What does the RS6429 form allow?
A: The RS6429 form allows healthcare providers to share an individual's health information with authorized individuals or organizations.
Q: Who needs to fill out the RS6429 form?
A: The RS6429 form needs to be filled out by the individual who wants to authorize the release of their health information.
Q: Is there a fee for obtaining the RS6429 form?
A: There may be a fee associated with obtaining the RS6429 form. You should check with your healthcare provider or medical records department.
Q: Can I revoke the authorization on the RS6429 form?
A: Yes, you can revoke the authorization on the RS6429 form at any time by submitting a written request to the healthcare provider or organization that received the authorization.
Form Details:
- Released on September 1, 2018;
- The latest edition provided by the Office of the New York State Comptroller;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form RS6429 by clicking the link below or browse more documents and templates provided by the Office of the New York State Comptroller.
