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Authorization to Disclose Health Information to Health Clinics of Utah - Utah
Authorization to Disclose Health Information to Health Clinics of Utah is a legal document that was released by the Utah Department of Health and Human Services - a government authority operating within Utah.
FAQ
Q: What is the Authorization to Disclose Health Information to Health Clinics of Utah?
A: The Authorization to Disclose Health Information to Health Clinics of Utah is a form that allows health clinics in Utah to access and share an individual's health information.
Q: Why is the Authorization to Disclose Health Information important?
A: The form is important because it ensures that health clinics have the necessary consent to access and share a person's health information in Utah.
Q: Who needs to fill out the Authorization to Disclose Health Information?
A: The individual whose health information will be disclosed needs to fill out the form.
Q: What information is disclosed with the Authorization to Disclose Health Information?
A: The form allows the disclosure of specific health information, such as medical records, test results, and treatment plans.
Q: Can the Authorization to Disclose Health Information be revoked?
A: Yes, the individual can revoke the authorization at any time by notifying the health clinics in writing.
Q: Is the Authorization to Disclose Health Information specific to Health Clinics of Utah?
A: Yes, the form is specifically for health clinics in Utah.
Q: How long is the Authorization to Disclose Health Information valid?
A: The form typically has an expiration date, after which the authorization is no longer valid.
Q: Can I choose which health clinics can access my health information?
A: Yes, the individual can specify which health clinics are authorized to access their health information on the form.
Form Details:
- Released on August 1, 2018;
- The latest edition currently provided by the Utah Department of Health and Human Services;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Utah Department of Health and Human Services.
