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Form 16PR004E Okdhs E-Release Submission - Oklahoma
What Is Form 16PR004E?
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 16PR004E?
A: Form 16PR004E is a document used for Okdhs E-Release Submission in Oklahoma.
Q: What is Okdhs?
A: Okdhs stands for Oklahoma Department of Human Services.
Q: What is an E-Release Submission?
A: An E-Release Submission refers to the electronic submission of a document.
Q: Who is required to submit Form 16PR004E?
A: Individuals or organizations who need to release protected health information to Okdhs are required to submit Form 16PR004E.
Q: What is the purpose of submitting Form 16PR004E?
A: The purpose of submitting Form 16PR004E is to authorize Okdhs to use and disclose protected health information.
Form Details:
- Released on August 2, 2012;
- The latest edition provided by the Oklahoma Department of 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 16PR004E by clicking the link below or browse more documents and templates provided by the Oklahoma Department of Human Services.
