Form DOC13-203 Health Information Disclosure - Washington

Form DOC13-203 Health Information Disclosure - Washington

What Is Form DOC13-203?

This is a legal form that was released by the Washington State Department of Corrections - 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 purpose of Form DOC13-203 Health Information Disclosure?
A: The purpose of Form DOC13-203 Health Information Disclosure is to authorize the disclosure of health information in the state of Washington.

Q: Who can use Form DOC13-203 Health Information Disclosure?
A: Form DOC13-203 Health Information Disclosure can be used by individuals who want to authorize the release of their health information.

Q: Is Form DOC13-203 Health Information Disclosure specific to Washington?
A: Yes, Form DOC13-203 Health Information Disclosure is specific to the state of Washington.

Q: What information is required on Form DOC13-203 Health Information Disclosure?
A: Form DOC13-203 Health Information Disclosure requires the individual's name, contact information, and a description of the health information to be disclosed.

Q: Is Form DOC13-203 Health Information Disclosure free to use?
A: Yes, Form DOC13-203 Health Information Disclosure is free to use.

Q: Can Form DOC13-203 Health Information Disclosure be used for minors?
A: Yes, Form DOC13-203 Health Information Disclosure can be used for minors under certain circumstances, such as when they are seeking medical treatment without the presence of a parent or guardian.

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Form Details:

  • Released on April 13, 2020;
  • The latest edition provided by the Washington State Department of Corrections;
  • 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 DOC13-203 by clicking the link below or browse more documents and templates provided by the Washington State Department of Corrections.

Download Form DOC13-203 Health Information Disclosure - Washington

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  • Form DOC13-203 Health Information Disclosure - Washington, Page 1
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