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CA CDCR 7385 2014 free printable template

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STATE OF CALIFORNIA. DEPARTMENT OF CORRECTIONS AND REHABILITATION. AUTHORIZATION FOR ...
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CA CDCR 7385 Form Versions

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CA CDCR 7385 2019
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CA CDCR 7385 2014
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CA CDCR 7385 2009-09
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CA CDCR 7385 2009-05
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How to fill out CA CDCR 7385

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How to fill out CA CDCR 7385

01
Obtain a copy of the CA CDCR 7385 form from the California Department of Corrections and Rehabilitation website or the prison institution.
02
Fill out the personal information section, including your name, inmate number, and facility information.
03
Provide details regarding the request for a specific program or service.
04
Include any required documentation that supports your request.
05
Review your completed form for accuracy and completeness.
06
Sign and date the form at the designated section.
07
Submit the form to the appropriate department within the facility as instructed.

Who needs CA CDCR 7385?

01
Inmates within the California Department of Corrections and Rehabilitation system who wish to request a specific program or service.
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People Also Ask about

(a) Patients may authorize the release of their health care information by completing the CDCR 7385, Authorization for Release of Protected Health Information, to allow a family member or friend to request and receive an update when there is a significant change in the patient's health care condition.
To request review or release of your CDCR health care records or information, you should complete a CDCR Form 7385 (Authorization for Release of Protected Health Information). A copy of the 7385 form is attached to this letter. You should do your best to fill out all sections of the 7385 form.
CDCR 7385, Authorization for Release of Protected Health Information.
Generally, an authorization provides the authority for a doctor's release of PHI for specified purposes, which are generally other than treatment, payment, or healthcare operations, or, to disclose protected health information to a third party specified by the individual.
Emergency Treatment If you need emergency care, an ER doctor may need to request and view your medical records in order to make the best possible treatment decisions.

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CA CDCR 7385 is a form used by the California Department of Corrections and Rehabilitation for reporting specific information about individuals under supervision.
Individuals on parole or probation in California, as well as certain mandated reporting agencies, are required to file CA CDCR 7385.
To fill out CA CDCR 7385, follow the instructions provided with the form, ensuring all required fields are completed accurately, including personal information and relevant case details.
The purpose of CA CDCR 7385 is to collect data on individuals under supervision to assist in monitoring, program planning, and ensuring compliance with legal requirements.
CA CDCR 7385 requires reporting personal information such as name, date of birth, case number, type of supervision, and specific behavior or compliance issues.
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Related Links

CDCR 7385, Authorization for Release of Protected Health ...
Code § 56.11(e), (f)]. The undersigned hereby authorizes CDCR's Health Information Management to release the health information pursuant to this authorization.
CDCR 7385
Requests for Psychotherapy Notes require a separate CDCR 7385 in order to be fulfilled and may not be combined with any other request for health care records.
CDCR 7385, Authorization for Release of Protected ...
CDCR 7385 (Rev. 05/25). AUTHORIZATION FOR RELEASE OF PROTECTED HEALTH INFORMATION. Page 1 of 2. 1. PATIENT INFORMATION. Patient Name (Last, First). Date of ...

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