Get Tayma S. Shaya M.d Faafp P 281-201-2230

Completing the Tayma S. Shaya M.D FAAFP form online is a straightforward process that allows you to authorize the sharing of your protected health information. Follow this guide to navigate each section of the form with ease.

Follow the steps to fill out the form effectively.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your personal details at the top of the form, including your full name, contact information, and date of birth.
3. In the section labeled 'Purpose and to whom information can be released,' choose all applicable options by checking the boxes next to each selection that applies to your situation.
4. Provide details for 'Specific information to be disclosed.' You can select either 'Medical Record from (insert date)' for specific records or 'Entire Medical Record' to authorize full access.
5. If applicable, indicate your preferences regarding specific information by initialing the relevant options related to drug use, mental health records, communicable diseases, or genetic information.
6. Specify the duration of the authorization by checking one option: 'All past, present, and future periods' or set an expiration date.
7. Review all the information entered to ensure accuracy. Once confirmed, proceed to save changes, download, print, or share the completed form as needed.

Complete your documents online with confidence today!