Form psi 2012-2025

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4.4 out of 5

442 votes

The document outlines the process for filling out a Permission to Share Information (PSI) form for MassHealth, specifically for individuals with legal authority to act on behalf of an applicant or member. It details where to send the completed form based on the type of health benefits being applied for, the information that can be shared, and the necessary signatures and legal documentation required. The document emphasizes the importance of completing all sections clearly and provides instructions on how to authorize sharing of personal health information.

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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (129 Votes)
2013	4.4 Satisfied (50 Votes)
2012	4.4 Satisfied (442 Votes)

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