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Form HCA13-335 Release of Information (Roi) for Substance Use Disorder (Sud) Services - Washington
What Is Form HCA13-335?
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 the Form HCA13-335?
A: The Form HCA13-335 is a Release of Information (ROI) form for Substance Use Disorder (SUD) services in Washington.
Q: What is a Release of Information (ROI) form?
A: A Release of Information (ROI) form is a document that allows the sharing of medical information between healthcare providers.
Q: What is Substance Use Disorder (SUD)?
A: Substance Use Disorder (SUD) refers to the misuse or addiction to substances such as drugs or alcohol.
Q: Who needs to fill out the Form HCA13-335?
A: Individuals receiving Substance Use Disorder (SUD) services in Washington may need to fill out the Form HCA13-335.
Q: What is the purpose of the Form HCA13-335?
A: The Form HCA13-335 is used to authorize the release of medical information related to Substance Use Disorder (SUD) services.
Q: Are there any fees for submitting the Form HCA13-335?
A: Generally, there are no fees for submitting the Form HCA13-335 for Substance Use Disorder (SUD) services in Washington.
Q: What information is required on the Form HCA13-335?
A: The Form HCA13-335 requires the individual's personal information, the recipient of the information, and details about the specific information being released.
Q: Is the Form HCA13-335 only for Washington residents?
A: Yes, the Form HCA13-335 is specifically used for Substance Use Disorder (SUD) services in Washington.
Q: Can I revoke or cancel the authorization on the Form HCA13-335?
A: Yes, you can revoke or cancel the authorization on the Form HCA13-335 at any time in writing.
Form Details:
- Released on March 1, 2016;
- The latest edition provided by the Washington State Health Care Authority;
- Easy to use and ready to print;
- Available in Somali;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form HCA13-335 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.
