Washington MHC Release of Information (also known as Authorization for Release of Protected Health Information) is a form required in Washington State for individuals to authorize the release of their protected health information (PHI) to others. This type of release of information form is necessary for any individual wishing to allow another person or entity access to their PHI, such as a family member, healthcare provider, or insurance company. This form is also used when transferring PHI between different healthcare providers or facilities. Washington MHC Release of Information forms must include the patient’s name, address, date of birth, Social Security number, and the date of authorization. It must also list the specific information being released, to whom it is being released, and why it is being released. The form must be signed and dated by the patient or the patient’s legal representative. Types of Washington MHC Release of Information forms include: * Authorization for Release of Protected Health Information * Authorization to Disclose Health Information * Authorization to Release Medical Records * Authorization for Release of Health Information * Authorization to Use and Disclose Health Information * Authorization to Release Mental Health Information * Authorization to Release Substance Abuse Treatment Information.