Form 13HI003E (08HI003E; HIPAA-3) Authorization to Disclose Protected Health Information (Phi) - Oklahoma

Form 13HI003E (08HI003E; HIPAA-3) Authorization to Disclose Protected Health Information (Phi) - Oklahoma

What Is Form 13HI003E (08HI003E; HIPAA-3)?

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

FAQ

Q: What is Form 13HI003E?
A: Form 13HI003E is an Authorization to Disclose Protected Health Information (PHI) form.

Q: What is the purpose of Form 13HI003E?
A: The purpose of Form 13HI003E is to authorize the disclosure of Protected Health Information (PHI).

Q: Who can use Form 13HI003E?
A: Any individual or entity who needs to disclose PHI in Oklahoma can use Form 13HI003E.

Q: What is PHI?
A: PHI stands for Protected Health Information, which includes any information about a person's health or healthcare that is protected under HIPAA.

Q: What is HIPAA?
A: HIPAA stands for Health Insurance Portability and Accountability Act, a federal law that protects the privacy and security of individuals' health information.

Q: Is Form 13HI003E specific to Oklahoma?
A: Yes, Form 13HI003E is specific to the state of Oklahoma.

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Form Details:

  • Released on December 28, 2020;
  • The latest edition provided by the Oklahoma Department of Human Services;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 13HI003E (08HI003E; HIPAA-3) by clicking the link below or browse more documents and templates provided by the Oklahoma Department of Human Services.

Download Form 13HI003E (08HI003E; HIPAA-3) Authorization to Disclose Protected Health Information (Phi) - Oklahoma

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