Form HCA13-835A Pharmacy Information Authorization - Washington

Form HCA13-835A Pharmacy Information Authorization - Washington

What Is Form HCA13-835A?

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

FAQ

Q: What is Form HCA13-835A?
A: Form HCA13-835A is a Pharmacy Information Authorization form.

Q: What is the purpose of Form HCA13-835A?
A: The purpose of Form HCA13-835A is to authorize the release of pharmacy information in Washington.

Q: Who needs to fill out Form HCA13-835A?
A: Anyone who wants to authorize the release of their pharmacy information in Washington needs to fill out Form HCA13-835A.

Q: Is there a fee to submit Form HCA13-835A?
A: No, there is no fee to submit Form HCA13-835A.

Q: How long does it take to process Form HCA13-835A?
A: The processing time for Form HCA13-835A varies, but it usually takes a few weeks.

Q: Is Form HCA13-835A only for residents of Washington?
A: Yes, Form HCA13-835A is specifically for residents of Washington.

Q: Can I use Form HCA13-835A to authorize the release of medical records?
A: No, Form HCA13-835A is only for authorizing the release of pharmacy information.

Q: What happens after I submit Form HCA13-835A?
A: After you submit Form HCA13-835A, the authorized pharmacy will be able to release your pharmacy information as requested.

Q: Can I revoke the authorization granted by Form HCA13-835A?
A: Yes, you can revoke the authorization granted by Form HCA13-835A at any time by submitting a written request to the authorized pharmacy.

ADVERTISEMENT

Form Details:

  • Released on November 1, 2016;
  • The latest edition provided by the Washington State Health Care Authority;
  • 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 HCA13-835A by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.

Download Form HCA13-835A Pharmacy Information Authorization - Washington

4.5 of 5 (15 votes)
  • Form HCA13-835A Pharmacy Information Authorization - Washington

    1

  • Form HCA13-835A Pharmacy Information Authorization - Washington, Page 2

    2

  • Form HCA13-835A Pharmacy Information Authorization - Washington, Page 3

    3

  • Form HCA13-835A Pharmacy Information Authorization - Washington, Page 1
  • Form HCA13-835A Pharmacy Information Authorization - Washington, Page 2
  • Form HCA13-835A Pharmacy Information Authorization - Washington, Page 3
Prev 1 2 3 Next
ADVERTISEMENT

Related Documents