Washington Uniform Healthcare Act Form

State:
Multi-State
Control #:
US-01613
Format:
Word; 
Rich Text
Instant download

Description

This form is a model example of an Advance Health Care Directive. It may not comply with the law of your state on health care directives, medical power of attorney and/or living wills - and must be adapted to the law of your state.
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FAQ

(1) Information and records related to mental health services delivered to a person subject to chapter 9.94A or 9.95 RCW must be released, upon request, by a mental health service agency to department of corrections personnel for whom the information is necessary to carry out the responsibilities of their office.

How do I request a copy of a public document? Please Submit a request through the new Public Records Request Portal. It will prompt you to create an account after selecting, Submit a Records Request. The request must be for a specific identifiable record or series of records.

Contact our public records officer by email at PRD@doh.wa.gov or phone at 360-236-4220.

A patient may revoke in writing a disclosure authorization to a health care provider at any time unless disclosure is required to effectuate payments for health care that has been provided or other substantial action has been taken in reliance on the authorization.

If your medical record is not available online, you may request a copy in writing from your provider. The simplest way to do this is to call and ask how to request a copy of your records. You may also be able check their website online and see if they have a release of records form available for you to fill out.

How long does my doctor keep my medical record? Check with your provider regarding the length of record retention. Washington State Law requires hospitals to retain medical records which are related to the care and treatment of the patient for a period of not less than 10 years following the most recent discharge.

The Uniform Health Care Information Act adopted by the Washington State Legislature went into effect on July 28, 1991. The Act provides direction for health care providers, health care facilities, patients and other persons on access to medical records, and what can be charged for copies of records.

Your provider can charge a "reasonable fee" for your copies. You may have to pay up front. In 2022, a health care provider can charge up to $1.24 a page for the first thirty pages, 94 cents a page after that, and a $28 clerical fee. WAC 246-08-0400.

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Washington Uniform Healthcare Act Form