Form 470-3947 Request to Change How Health Information Is Provided - Iowa

What Is Form 470-3947?

This is a legal form that was released by the Iowa Department of Human Services - a government authority operating within Iowa. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 470-3947?
A: Form 470-3947 is a request form used in Iowa to change the way health information is provided.

Q: Who can use Form 470-3947?
A: Anyone in Iowa who wants to change how their health information is provided can use Form 470-3947.

Q: Why would someone use Form 470-3947?
A: Someone may use Form 470-3947 to request a change in how their health information is provided for privacy or convenience reasons.

Q: How do I fill out Form 470-3947?
A: You need to provide your personal information, specify the changes you want to make, and sign the form.

Q: Is there a fee for submitting Form 470-3947?
A: There is no fee for submitting Form 470-3947 in Iowa.

Q: What happens after I submit Form 470-3947?
A: After you submit Form 470-3947, your healthcare provider will review the request and make the necessary changes to how your health information is provided.

Q: Can I revoke or update my request made with Form 470-3947?
A: Yes, you can revoke or update your request by submitting a new Form 470-3947 to your healthcare provider.