Form OP140108A Authorization for Release of Protected Health Information - Oklahoma

Form OP140108A Authorization for Release of Protected Health Information - Oklahoma

What Is Form OP140108A?

This is a legal form that was released by the Oklahoma Department of Corrections - a government authority operating within Oklahoma. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is OP140108A Authorization for Release of Protected Health Information?
A: OP140108A Authorization for Release of Protected Health Information is a form used in Oklahoma to authorize the release of protected health information.

Q: What is the purpose of OP140108A Authorization for Release of Protected Health Information?
A: The purpose of OP140108A Authorization for Release of Protected Health Information is to give permission for the disclosure of protected health information to specified individuals or organizations.

Q: Who needs to use OP140108A Authorization for Release of Protected Health Information?
A: Anyone who wants to authorize the release of their protected health information needs to use OP140108A Authorization for Release of Protected Health Information.

Q: When is OP140108A Authorization for Release of Protected Health Information used?
A: OP140108A Authorization for Release of Protected Health Information is used when someone wants to allow the disclosure of their protected health information, such as when changing healthcare providers.

Q: Are there any fees associated with using OP140108A Authorization for Release of Protected Health Information?
A: There may be fees associated with using OP140108A Authorization for Release of Protected Health Information, depending on the healthcare provider's policies.

Q: Can I revoke the authorization given with OP140108A Authorization for Release of Protected Health Information?
A: Yes, the authorization given with OP140108A Authorization for Release of Protected Health Information can generally be revoked in writing.

Q: Is OP140108A Authorization for Release of Protected Health Information valid in all states?
A: OP140108A Authorization for Release of Protected Health Information is specific to Oklahoma and may not be valid in other states.

Q: What information is required on OP140108A Authorization for Release of Protected Health Information?
A: OP140108A Authorization for Release of Protected Health Information typically requires the patient's name, date of birth, and the specific information to be released.

Q: Can I use OP140108A Authorization for Release of Protected Health Information to release information to anyone?
A: No, OP140108A Authorization for Release of Protected Health Information allows you to specify who can receive your protected health information.

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Form Details:

  • Released on November 1, 2022;
  • The latest edition provided by the Oklahoma 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 OP140108A by clicking the link below or browse more documents and templates provided by the Oklahoma Department of Corrections.

Download Form OP140108A Authorization for Release of Protected Health Information - Oklahoma

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