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This version of the form is not currently in use and is provided for reference only. Download this version of
Form IHS-810
for the current year.
Form IHS-810 Authorization for Use or Disclosure of Protected Health Information
What Is Form IHS-810?
This is a legal form that was released by the U.S. Department of Health and Human Services - Indian Health Service on April 1, 2016 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form IHS-810?
A: Form IHS-810 is the Authorization for Use or Disclosure of Protected Health Information.
Q: What is the purpose of Form IHS-810?
A: The purpose of Form IHS-810 is to authorize the use or disclosure of protected health information.
Q: Who should use Form IHS-810?
A: Form IHS-810 can be used by individuals who want to authorize the use or disclosure of their protected health information.
Q: What is protected health information?
A: Protected health information includes any information about a person's health or healthcare that can identify the individual.
Q: Is Form IHS-810 specific to the United States?
A: Yes, Form IHS-810 is specific to the United States.
Form Details:
- Released on April 1, 2016;
- The latest available edition released by the U.S. Department of Health and Human Services - Indian Health Service;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form IHS-810 by clicking the link below or browse more documents and templates provided by the U.S. Department of Health and Human Services - Indian Health Service.
Download Form IHS-810 Authorization for Use or Disclosure of Protected Health Information
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