Get Ocfs-8001: Authorization For Release Of Health Information - Ocfs Ny

Filling out the OCFS-8001 form is an important process for authorizing the release of health information. This guide provides clear instructions for each section of the form to ensure you complete it accurately and efficiently.

Follow the steps to fill out the OCFS-8001 form correctly.

1. Press the ‘Get Form’ button to download the form and open it for editing.
2. Begin by entering the child's name at the top of the form, including last name, first name, and middle initial. Ensure the spelling is accurate for proper identification.
3. Indicate the gender of the child by selecting either 'Male' or 'Female.' This information is needed for the health records.
4. Enter the child's date of birth in the specified format. This helps verify the identity of the individual concerned.
5. Provide the Medicaid CIN (Client Identification Number) to connect health information with the necessary health formats.
6. In the authorization section, make it clear that you or your authorized representative is requesting the release of health information by completing the first statement.
7. Read through the information regarding the types of sensitive health information included. You may need to initial certain lines if the information released includes substance abuse treatment, mental health treatment, or HIV-related info.
8. In the 'Name and complete address of health provider or entity' section, provide the details of the professional or organization that will release the health information.
9. Fill in the 'Name and complete address' area of the person or organization to whom the health information will be sent.
10. Specify the particular health information you wish to release from section 9 (a) by indicating the dates for medical records and marking what types of records to include, like medical histories and treatment records.
11. If you wish to authorize discussion of health information by specific individuals, complete section 9 (b) with their information and initial your approval.
12. Indicate the reason for the information release in section 10; this might include participation in programs like the B2H Medicaid Waiver Program.
13. Provide your name and relationship to the child in sections 12 and 13, completing the necessary roles for signing the document.
14. Finally, ensure all signatures are in place, including the signature of the child (if applicable), and the date next to each signature.

Complete your documents online efficiently and securely to facilitate the health information release process.