NOAA Form 56-67 Authorization for Release of Medical Records (From CPC)

NOAA Form 56-67 Authorization for Release of Medical Records (From CPC)

What Is NOAA Form 56-67?

This is a legal form that was released by the U.S. Department of Commerce - National Oceanic and Atmospheric Administration on September 1, 2007 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is NOAA Form 56-67?
A: NOAA Form 56-67 is an Authorization for Release of Medical Records from CPC.

Q: Who uses NOAA Form 56-67?
A: NOAA Form 56-67 is used by individuals requesting the release of their medical records from CPC.

Q: What is CPC?
A: CPC refers to the Clinical Practice Center, where medical records are maintained.

Q: Why would someone need to complete NOAA Form 56-67?
A: Someone may need to complete this form to authorize the release of their medical records for various purposes such as insurance claims, legal matters, or personal reference.

Q: Is there a fee for requesting medical records using NOAA Form 56-67?
A: There may be a fee associated with the release of medical records. It is best to contact CPC for more information regarding any fees.

Q: Can I fax or email NOAA Form 56-67 to CPC?
A: It is recommended to directly contact CPC to inquire about their preferred method of submitting the form.

Q: How long does it take to process a request for medical records using NOAA Form 56-67?
A: The processing time can vary depending on the CPC's workload. It is advisable to contact CPC for an estimate of the processing time.

ADVERTISEMENT

Form Details:

  • Released on September 1, 2007;
  • The latest available edition released by the U.S. Department of Commerce - National Oceanic and Atmospheric Administration;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of NOAA Form 56-67 by clicking the link below or browse more documents and templates provided by the U.S. Department of Commerce - National Oceanic and Atmospheric Administration.

Download NOAA Form 56-67 Authorization for Release of Medical Records (From CPC)

4.3 of 5 (18 votes)
  • NOAA Form 56-67 Authorization for Release of Medical Records (From CPC), Page 1
ADVERTISEMENT

Related Documents