PDF
Word
Form DHS0419B Resident or Legal Representative's Authorization to Release Confidential Information - Oregon
What Is Form DHS0419B?
This is a legal form that was released by the Oregon Department of Human Services - a government authority operating within Oregon. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the DHS0419B form?
A: The DHS0419B form is the Resident or Legal Representative's Authorization to Release Confidential Information form.
Q: Who needs to fill out the DHS0419B form?
A: Residents or their legal representatives in Oregon may need to fill out the DHS0419B form.
Q: What information does the DHS0419B form authorize to release?
A: The DHS0419B form authorizes the release of confidential information.
Q: Why would someone need to authorize the release of confidential information?
A: Someone may need to authorize the release of confidential information for various reasons, such as accessing medical records or sharing information with specific individuals or organizations.
Form Details:
- Released on July 1, 2019;
- The latest edition provided by the Oregon Department of Human Services;
- 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 DHS0419B by clicking the link below or browse more documents and templates provided by the Oregon Department of Human Services.
