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Form LIC605 A Release of Client / Resident Medical Information - California
What Is Form LIC605 A?
This is a legal form that was released by the California Department of Social Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form LIC605?
A: Form LIC605 is a Release of Client/Resident Medical Information form in California.
Q: What is the purpose of Form LIC605?
A: The purpose of Form LIC605 is to authorize the release of medical information of a client/resident in California.
Q: Who can use Form LIC605?
A: Form LIC605 can be used by individuals or their representatives to authorize the release of their medical information.
Q: Is Form LIC605 specific to California?
A: Yes, Form LIC605 is specific to California.
Q: Can Form LIC605 be used for minors?
A: Yes, Form LIC605 can be used for minors as well.
Q: Can Form LIC605 be used for mental health information?
A: Yes, Form LIC605 can be used to authorize the release of mental health information as well.
Q: Is there a fee for processing Form LIC605?
A: There may be a fee for processing Form LIC605, depending on the entity releasing the medical information.
Form Details:
- Released on May 1, 2000;
- The latest edition provided by the California Department of Social 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 fillable version of Form LIC605 A by clicking the link below or browse more documents and templates provided by the California Department of Social Services.
