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Form 8624-W Consent to Release Records to the Certified Ombudsman - Texas
What Is Form 8624-W?
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-W?
A: Form 8624-W is a consent form that allows the release of records to the Certified Ombudsman in Texas.
Q: Who can use Form 8624-W?
A: Anyone who wants to give permission for their records to be released to the Certified Ombudsman in Texas can use this form.
Q: What is the purpose of Form 8624-W?
A: The purpose of this form is to authorize the release of records to the Certified Ombudsman in Texas for the purpose of resolving disputes or addressing concerns related to long-term care facilities.
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-W by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.
