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.
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.
Form Details:
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.