This is a legal form that was released by the Ohio Department of Health - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form HEA7160?
A: Form HEA7160 is the Release of Information and Consent form for individuals who are 18 years of age and older in Ohio.
Q: Who needs to complete Form HEA7160?
A: Individuals who are 18 years of age and older in Ohio need to complete Form HEA7160.
Q: What is the purpose of Form HEA7160?
A: The purpose of Form HEA7160 is to authorize the release of information and provide consent for the disclosure of personal health information.
Q: Is Form HEA7160 specific to Ohio?
A: Yes, Form HEA7160 is specific to Ohio and its requirements.
Form Details:
Download a fillable version of Form HEA7160 by clicking the link below or browse more documents and templates provided by the Ohio Department of Health.