This version of the form is not currently in use and is provided for reference only. Download this version of Form DOC13-035 for the current year.
This is a legal form that was released by the Washington State Department of Corrections - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DOC13-035?
A: DOC13-035 is a form used in Washington to authorize the disclosure of health information.
Q: Why would I need to fill out DOC13-035?
A: You would need to fill out DOC13-035 to give permission for your health information to be shared with others.
Q: Who can I authorize to disclose my health information?
A: You can authorize specific individuals or organizations to disclose your health information.
Q: Is DOC13-035 specific to Washington?
A: Yes, DOC13-035 is specific to Washington and is used within the state.
Q: What information is required on DOC13-035?
A: DOC13-035 requires your personal information, the information you want disclosed, and to whom you want it disclosed.
Q: Can I revoke my authorization at any time?
A: Yes, you can revoke your authorization at any time by submitting a written request to the individual or organization who has your health information.
Form Details:
Download a printable version of Form DOC13-035 by clicking the link below or browse more documents and templates provided by the Washington State Department of Corrections.