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Dshs release of information form 2026
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- Click ‘Get Form’ to open the DSHS Release of Information form in the editor.
- Begin by filling out your personal information in the 'IDENTIFICATION OF SUBJECT OF RECORDS' section. Include your full name, date of birth, and any former names to help locate your records.
- In the 'DISCLOSE TO' section, provide the details of the individual or organization you are authorizing to receive your information. Ensure all fields are completed for accurate communication.
- Next, specify which DSHS programs you authorize to disclose your records by checking the appropriate boxes under 'AUTHORIZATION'. You can choose specific programs or select 'All parts of DSHS'.
- Indicate what type of records you wish to disclose in the 'RECORDS' section. You may limit this disclosure by specifying dates or types of records if necessary.
- Finally, sign and date the form at the bottom. If applicable, include a witness or notary signature for verification.
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