
Get the free HSS-06-5870 Release of Information - Alaska Department of Health ... - dhss alaska
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Department of Health and Social Services Division of Senior & Disabilities Services 550 West 8th Ave ? Anchorage, Alaska 99501 (907) 269-3666 ? 1-800-478-9996 AUTHORIZATION FOR RELEASE OF INFORMATION
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What is hss-06-5870 release of information?
The hss-06-5870 release of information is a form used to authorize the disclosure of protected health information (PHI) in accordance with HIPAA regulations.
Who is required to file hss-06-5870 release of information?
Any individual or organization seeking to disclose PHI is required to obtain a completed hss-06-5870 release of information form.
How to fill out hss-06-5870 release of information?
To fill out the hss-06-5870 release of information, provide the requester's information, specify the purpose for disclosure, describe the information to be disclosed, and obtain the signature and date.
What is the purpose of hss-06-5870 release of information?
The purpose of the hss-06-5870 release of information is to ensure that the disclosure of PHI is done with the individual's consent and in compliance with HIPAA regulations.
What information must be reported on hss-06-5870 release of information?
The hss-06-5870 release of information requires the disclosure of specific information, including the individual's name, date of birth, the information to be disclosed, the purpose of disclosure, and the expiration date or event.
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