Form 8624-O Consent to Release Records to the Certified Ombudsman - Texas

Form 8624-O Consent to Release Records to the Certified Ombudsman - Texas

What Is Form 8624-O?

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

FAQ

Q: What is Form 8624-O?
A: Form 8624-O is a document that allows the release of records to the Certified Ombudsman in Texas.

Q: What is the purpose of Form 8624-O?
A: The purpose of Form 8624-O is to grant authorization for the release of records to the Certified Ombudsman in Texas.

Q: Who can use Form 8624-O?
A: Anyone who wants to allow the release of their records to the Certified Ombudsman in Texas can use Form 8624-O.

Q: Are there any fees associated with Form 8624-O?
A: There are typically no fees associated with the submission of Form 8624-O.

Q: Is Form 8624-O specific to Texas?
A: Yes, Form 8624-O is specific to Texas and is used to authorize the release of records to the Certified Ombudsman in the state.

Q: What type of records can be released using Form 8624-O?
A: Form 8624-O allows for the release of various types of records, including medical records and other personal information.

Q: Can I revoke my consent to release records using Form 8624-O?
A: Yes, you can revoke your consent to release records by submitting a written request to the entity to which you granted consent.

Q: Is Form 8624-O mandatory?
A: Form 8624-O is typically not mandatory, but it may be required by certain entities in order to release records to the Certified Ombudsman in Texas.

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Form Details:

  • Released on May 1, 2009;
  • The latest edition provided by the Texas Health and 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 printable version of Form 8624-O by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

Download Form 8624-O Consent to Release Records to the Certified Ombudsman - Texas

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