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Form MSA-0838 Authorization to Disclose Protected Health Information - Michigan
What Is Form MSA-0838?
This is a legal form that was released by the Michigan Department of Health and Human Services - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form MSA-0838?
A: Form MSA-0838 is an Authorization to Disclose Protected Health Information specific to Michigan.
Q: Why do I need to fill out Form MSA-0838?
A: You need to fill out Form MSA-0838 to authorize the disclosure of your protected health information.
Q: What does Form MSA-0838 authorize?
A: Form MSA-0838 authorizes the disclosure of your protected health information to specified individuals or organizations.
Q: Who should I give Form MSA-0838 to?
A: You should give Form MSA-0838 to the individuals or organizations that you want to authorize to access your protected health information.
Q: Is Form MSA-0838 specific to Michigan?
A: Yes, Form MSA-0838 is specific to Michigan.
Q: Is there a fee associated with submitting Form MSA-0838?
A: There is no fee associated with submitting Form MSA-0838.
Form Details:
- Released on January 1, 2021;
- The latest edition provided by the Michigan Department of Health and Human Services;
- 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 printable version of Form MSA-0838 by clicking the link below or browse more documents and templates provided by the Michigan Department of Health and Human Services.
