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.
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.