This document contains official instructions in Somali for Form HS-2939S , HIPAA Authorization for Release of Medical/Health Information to a 3rd Party - a form released and collected by the Tennessee Department of Human Services. An up-to-date fillable Form HS-2939S is available for download through this link.
Q: What is Form HS-2939S?
A: Form HS-2939S is a HIPAA Authorization for Release of Medical/Health Information to a 3rd Party specifically for residents of Tennessee who speak Somali.
Q: What is the purpose of Form HS-2939S?
A: The purpose of Form HS-2939S is to authorize the release of your medical/health information to a third party, such as a family member or caregiver, who may need access to your information to assist you with your medical care needs.
Q: Who can use Form HS-2939S?
A: Residents of Tennessee who speak Somali can use Form HS-2939S to authorize the release of their medical/health information to a third party.
Q: Why is the form specific to Tennessee?
A: The form is specific to Tennessee because it is designed to comply with the state's regulations and language requirements.
Q: Is Form HS-2939S available in languages other than Somali?
A: No, Form HS-2939S is only available in Somali language for residents of Tennessee.
Instruction Details:
Download your copy of the instructions by clicking the link below or browse hundreds of other forms in our library of forms released by the Tennessee Department of Human Services.