Form TRS628 Authorization for Use or Disclosure of Protected Health Information - Texas

What Is Form TRS628?

This is a legal form that was released by the Teacher Retirement System of Texas - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form TRS628?
A: Form TRS628 is the Authorization for Use or Disclosure of Protected Health Information specific to the state of Texas.

Q: What is the purpose of Form TRS628?
A: The purpose of Form TRS628 is to authorize the use or disclosure of protected health information in accordance with applicable Texas laws.

Q: Who needs to fill out Form TRS628?
A: Any individual who wants to authorize the use or disclosure of their protected health information in Texas needs to fill out Form TRS628.

Q: What information is required on Form TRS628?
A: Form TRS628 requires the individual's personal information, details about the authorized individual/entity, description of the information to be disclosed, purpose of the disclosure, and signature of the individual authorizing the disclosure.