Form F-13146 HIPAA Privacy Revocation of Authorization - Wisconsin

Form F-13146 HIPAA Privacy Revocation of Authorization - Wisconsin

What Is Form F-13146?

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

FAQ

Q: What is Form F-13146?
A: Form F-13146 is the HIPAA Privacy Revocation of Authorization form for Wisconsin.

Q: What is HIPAA?
A: HIPAA stands for the Health Insurance Portability and Accountability Act, which protects the privacy and security of medical information.

Q: What is the purpose of Form F-13146?
A: The purpose of Form F-13146 is to revoke an individual's authorization for the use and disclosure of their medical information under HIPAA.

Q: Who needs to use Form F-13146?
A: Any individual in Wisconsin who wants to revoke their authorization for the use and disclosure of their medical information under HIPAA can use Form F-13146.

Q: Is Form F-13146 mandatory?
A: No, the use of Form F-13146 is voluntary.

Q: Are there any fees associated with Form F-13146?
A: There are no fees associated with Form F-13146.

Q: What should I do after completing Form F-13146?
A: After completing Form F-13146, you should provide a copy to your healthcare provider and keep a copy for your records.

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Form Details:

  • Released on July 1, 2008;
  • The latest edition provided by the Wisconsin Department of Health 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 F-13146 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.

Download Form F-13146 HIPAA Privacy Revocation of Authorization - Wisconsin

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