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Form HS-2939S HIPAA Authorization for Release of Medical / Health Information to a 3rd Party - Tennessee (Somali)
This is a legal form that was released by the Tennessee Department of Human Services - a government authority operating within Tennessee.
The document is provided in Somali. Check the official instructions before completing and submitting the form.
FAQ
Q: What is Form HS-2939S?
A: Form HS-2939S is an authorization form for the release of medical/health information to a third party.
Q: What does HIPAA stand for?
A: HIPAA stands for the Health Insurance Portability and Accountability Act.
Q: Who needs to complete Form HS-2939S?
A: Anyone who wants to authorize the release of their medical/health information to a third party in Tennessee.
Q: What is the purpose of Form HS-2939S?
A: The purpose of this form is to give consent to a healthcare provider or facility to release medical/health information to a third party, while complying with HIPAA regulations.
Q: Is this form specific to Tennessee?
A: Yes, this form is specific to Tennessee.
Q: Is this form available in Somali language?
A: Yes, this form is available in Somali language for Somali-speaking residents of Tennessee.
Q: What information is required on Form HS-2939S?
A: The form will require personal identification information, details of the medical/health information being released, information about the third party receiving the information, and the patient's signature.
Q: Are there any fees associated with submitting Form HS-2939S?
A: Fees may vary, and it is best to check with the healthcare provider or facility where you intend to submit the form.
Q: How long does it take for the authorization to be processed?
A: Processing times may vary, and it is best to check with the healthcare provider or facility where you submitted the form.
Form Details:
- Released on June 1, 2018;
- The latest edition provided by the Tennessee Department of Human Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
Download a printable version of Form HS-2939S by clicking the link below or browse more documents and templates provided by the Tennessee Department of Human Services.
Download Form HS-2939S HIPAA Authorization for Release of Medical / Health Information to a 3rd Party - Tennessee (Somali)
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