Forms
A covered entity may not use or disclose protected health information, except either: (1) as the Privacy Rule permits or requires; or (2) as the individual who is the subject of the information (or the individual’s personal representative) authorizes in writing.
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- Authorization for Use or Disclosure of Protected Health Information
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Please complete this form if you wish to authorized Tulare County Health and Human Services to use or disclose your Protected Health Information.
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- Authorization for Use or Disclosure of Protected Health Information: Substance Use Disorder
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Please complete this form if you wish to authorized Tulare County Health and Human Services to use or disclose your substance use disorder treatment information.
