Form HS1815 Authorization for Use or Disclosure of Personal Information - Pennsylvania

What Is Form HS1815?

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

FAQ

Q: What is HS1815?
A: HS1815 is a form titled 'Authorization for Use or Disclosure of Personal Information' in Pennsylvania.

Q: What is the purpose of HS1815?
A: The purpose of HS1815 is to authorize the use or disclosure of personal information in Pennsylvania.

Q: Who needs to use HS1815?
A: Anyone who wants to authorize the use or disclosure of their personal information in Pennsylvania needs to use HS1815.

Q: What information is required on HS1815?
A: HS1815 requires information such as the individual's name, address, and details about the specific use or disclosure being authorized.

Q: Is HS1815 specific to Pennsylvania?
A: Yes, HS1815 is specific to the state of Pennsylvania.

Q: Is there a fee associated with HS1815?
A: There is typically no fee associated with HS1815, but it is best to check with the relevant healthcare provider or agency for any potential fees.

Q: Can HS1815 be revoked?
A: Yes, the authorization provided through HS1815 can be revoked at any time by the individual who granted it.

Q: Is HS1815 legally binding?
A: Yes, HS1815 is a legally binding authorization form in Pennsylvania.

Q: Are there any restrictions on the use or disclosure of personal information authorized through HS1815?
A: Yes, there may be restrictions or limitations on the use or disclosure of personal information authorized through HS1815, depending on the specific circumstances and applicable laws.