Form DOC13-203 Health Information Disclosure - Washington

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Form DOC13-203 Health Information Disclosure - Washington

What Is Form DOC13-203?

This is a legal form that was released by the Washington State Department of Corrections - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form DOC13-203?
A: Form DOC13-203 is the Health Information Disclosure form used in the state of Washington.

Q: Who needs to use Form DOC13-203?
A: Healthcare providers and facilities in Washington may need to use Form DOC13-203 to disclose patient health information.

Q: What is the purpose of Form DOC13-203?
A: The purpose of Form DOC13-203 is to authorize the release of protected health information in accordance with state and federal laws.

Q: Are there any fees associated with Form DOC13-203?
A: There are no fees associated with Form DOC13-203.

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Form Details:

  • Released on November 21, 2019;
  • The latest edition provided by the Washington State Department of Corrections;
  • 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 printable version of Form DOC13-203 by clicking the link below or browse more documents and templates provided by the Washington State Department of Corrections.

Download Form DOC13-203 Health Information Disclosure - Washington

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  • Form DOC13-203 Health Information Disclosure - Washington, Page 1
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