Authorization for Release of Protected Health Information From the Delaware Employee Health Care Plan is a legal document that was released by the Delaware Department of Human Resources - a government authority operating within Delaware.
Q: What is the Authorization for Release of Protected Health Information?
A: The Authorization for Release of Protected Health Information is a form that allows the Delaware Employee Health Care Plan to share your health information with other parties.
Q: Why would I need to sign the Authorization for Release of Protected Health Information?
A: You may need to sign this form if you want your health information to be shared with another person or organization.
Q: Who can I authorize to receive my health information?
A: You can authorize any individual or organization that you choose to receive your health information.
Q: How can I obtain the Authorization for Release of Protected Health Information form?
A: You can obtain the form from the Delaware Employee Health Care Plan.
Q: What information is included in this form?
A: The form will ask for your name, date of birth, the recipient of the information, and the types of information to be released.
Q: Is there a fee for requesting the release of health information?
A: The Delaware Employee Health Care Plan may charge a fee for processing the request.
Q: How long does it take to process the Authorization for Release of Protected Health Information?
A: The processing time may vary, but it typically takes a few business days.
Q: Can I revoke the authorization to release my health information?
A: Yes, you can revoke the authorization at any time by submitting a written request to the Delaware Employee Health Care Plan.
Q: What happens if I don't sign the Authorization for Release of Protected Health Information?
A: If you don't sign the form, the Delaware Employee Health Care Plan will not be able to release your health information to other parties.
Form Details:
Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Delaware Department of Human Resources.