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.
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.
Form Details:
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.