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Form HPS-402 Authorization for the Use and Disclosure of Protected Health Information - Montana
What Is Form HPS-402?
This is a legal form that was released by the Montana Department of Public Health and Human Services - a government authority operating within Montana. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form HPS-402?
A: Form HPS-402 is Authorization for the Use and Disclosure of Protected Health Information.
Q: Who is this form for?
A: This form is for residents of Montana.
Q: What is the purpose of this form?
A: The purpose of this form is to authorize the use and disclosure of protected health information.
Q: Why is this form important?
A: This form is important because it allows individuals to control the sharing of their protected health information.
Form Details:
- Released on August 1, 2018;
- The latest edition provided by the Montana Department of Public Health and Human Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form HPS-402 by clicking the link below or browse more documents and templates provided by the Montana Department of Public Health and Human Services.
