Form F-13160 HIPAA Privacy Revocation of Authorization - Wisconsin Chronic Disease Program (Wcdp) - Wisconsin

What Is Form F-13160?

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-13160?
A: Form F-13160 is a HIPAA Privacy Revocation of Authorization form.

Q: What does HIPAA stand for?
A: HIPAA stands for Health Insurance Portability and Accountability Act.

Q: What is the Wisconsin Chronic Disease Program (WCDP)?
A: The Wisconsin Chronic Disease Program (WCDP) is a program in Wisconsin that provides assistance to eligible individuals with chronic diseases.

Q: What is the purpose of Form F-13160?
A: Form F-13160 is used to revoke the authorization given to release protected health information under HIPAA.

Q: Who is required to complete Form F-13160?
A: The individual or their legal representative who previously authorized the release of their protected health information needs to complete Form F-13160 to revoke that authorization.

Q: Is there a fee to submit Form F-13160?
A: No, there is no fee to submit Form F-13160.

Q: Can I submit Form F-13160 electronically?
A: The submission method for Form F-13160 may vary. Please refer to the instructions provided with the form or contact the Wisconsin Chronic Disease Program (WCDP) for submission options.

Q: What if I have more questions about Form F-13160?
A: If you have more questions about Form F-13160, you can contact the Wisconsin Chronic Disease Program (WCDP) for assistance.