Authorization To Release Information {145} | Pdf Fpdf Docx | Iowa

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Authorization To Release Information {145} | Pdf Fpdf Docx | Iowa

Last updated: 9/20/2023

Authorization To Release Information {145}

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Description

Form No. 145 - AUTHORIZATION TO RELEASE INFORMATION. This form is used for disclosing and authorizing the release of medical information in legal and litigation contexts. It allows a patient to grant permission for the disclosure of their medical records to specified entities and individuals for legal and litigation purposes. The form also includes provisions for consultation with healthcare providers and the release of protected information under Federal and/or State laws. It emphasizes that the disclosed information should only be used for the specified legal purposes and outlines the patient's rights regarding the release of their medical information. www.FormsWorkflow.com

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