Texas Medical Release Form

Form H1836BS Fill Out, Sign Online and Download Fillable PDF, Texas

Texas Medical Release Form. The client (or personal representative) signs to authorize release of medical information to hhsc or a provider. Web release form on reverse instructions for obtaining consent to release confidential information information contained in client.

Form H1836BS Fill Out, Sign Online and Download Fillable PDF, Texas
Form H1836BS Fill Out, Sign Online and Download Fillable PDF, Texas

The client (or personal representative) signs to authorize release of medical information to hhsc or a provider. Web release form on reverse instructions for obtaining consent to release confidential information information contained in client.

Web release form on reverse instructions for obtaining consent to release confidential information information contained in client. The client (or personal representative) signs to authorize release of medical information to hhsc or a provider. Web release form on reverse instructions for obtaining consent to release confidential information information contained in client.