Tennessee Hauling Release and Waiver - Horse Equine Forms

Category:
State:
Tennessee
Control #:
TN-04-06
Format:
Word; 
Rich Text
Instant download

Description

This Hauling Release and Waiver Horse Equine Form is a hauling release and waiver used in the situation where a horse owner agrees to allow another person to transport, haul and/or trailer a horse to horse shows, equestrian events, rodeos, sales and other events. It includes the agreement to waive and disclaim all liabilities to the hauler in connection with injury or death to the horse.

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FAQ

TennCare is the state of Tennessee's Medicaid program. It provides healthcare to mostly low-income pregnant women, parents or caretakers of a minor child, children and individuals who are elderly or have a disability. You can apply anytime for TennCare.

CMS approved the waiver amendment request on July 22, 2009. Two new MCOs, AmeriChoice and Blue Cross Blue Shield, which were selected through a competitive bid process, began providing full risk managed care and integrated physical and behavioral health to TennCare enrollees in West Tennessee.

A medical release form is a document that gives healthcare professionals permission to share patient medical information with other parties.

TennCare is a federal waiver program that is approved by the Centers for Medicare & Medicaid Services (CMS). Under the waiver, TennCare can do some things that Medicaid can't do. TennCare can enroll some people who are not eligible for Medicaid. TennCare can offer more benefits than Medicaid.

A Release says your estate does not owe TennCare any money. To find out if the estate owes money to TennCare, you must complete and submit a Request for Release Form. The form may be downloaded at: Release Form.

By signing an authorization to release information, a party is consenting to provide another party with access to otherwise confidential information or records about an individual. However, signing a release doesn't mean the complete loss of confidentiality because most authorization forms are subject to limitations.

TennCare is a managed care program.Part of that payment may be for long-term care services, which is the kind of care that must be paid back to TennCare. The payment made by TennCare to your health plan is the same each month, no matter what services you actually receive that month.

Please Print This form is used to release your protected health information as required by federal and state privacy laws. Your authorization allows the Health Plan (your health insurance carrier or HMO) to release your protected health information to a person or organization that you choose.

TennCare is the state of Tennessee's Medicaid program. It provides healthcare to mostly low-income pregnant women, parents or caretakers of a minor child, children and individuals who are elderly or have a disability. You can apply anytime for TennCare.

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Tennessee Hauling Release and Waiver - Horse Equine Forms