Form HIPPA206A Turquoise Lodge Authorization to Disclose Health Information - New Mexico

What Is Form HIPPA206A?

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

FAQ

Q: What is HIPPA206A Turquoise Lodge Authorization to Disclose Health Information?
A: HIPPA206A Turquoise Lodge Authorization to Disclose Health Information is a form used in New Mexico for authorizing the disclosure of health information.

Q: Who uses the HIPPA206A form?
A: The HIPPA206A form is used by individuals who want to authorize the disclosure of their health information by Turquoise Lodge, a health facility in New Mexico.

Q: What information is disclosed with the HIPPA206A form?
A: The HIPPA206A form authorizes the disclosure of various health information, including medical history, treatment records, and mental health records.

Q: How can I obtain the HIPPA206A form?
A: You can obtain the HIPPA206A form from Turquoise Lodge or by contacting the health facility.

Q: Is the HIPPA206A form specific to New Mexico?
A: Yes, the HIPPA206A form is specific to New Mexico and is used by Turquoise Lodge.

Q: Can I use the HIPPA206A form for other health facilities?
A: No, the HIPPA206A form is specific to Turquoise Lodge and cannot be used for other health facilities.

Q: Is the HIPPA206A form legally binding?
A: Yes, the HIPPA206A form is legally binding and allows Turquoise Lodge to disclose your health information as authorized.

Q: How long is the HIPPA206A form valid for?
A: The validity of the HIPPA206A form may vary, but it typically remains in effect until revoked or a specific expiration date is mentioned on the form.

Q: Can I revoke the authorization granted through the HIPPA206A form?
A: Yes, you can revoke the authorization granted through the HIPPA206A form at any time by providing written notice to Turquoise Lodge.

Q: Can someone else fill out the HIPPA206A form on my behalf?
A: Yes, someone else can fill out the HIPPA206A form on your behalf if you have given them the legal authority to act on your behalf, such as through a power of attorney.