Wisconsin Request for an Individuals Health Information

State:
Multi-State
Control #:
US-3577
Format:
Word; 
Rich Text
Instant download

Description

This form is used by an individual to request access to his or her protected health information. The individual's rights regarding this access are also acknowledged by the individual.

How to fill out Request For An Individuals Health Information?

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FAQ

Background. MADISON, Wis. Wisconsin Department of Health Services Secretary-designee Karen Timberlake on Tuesday reflected on what the state did right and wrong in responding to the COVID-19 pandemic.

Secretary-designee Karen Timberlake Karen Timberlake returned to the Department of Health Services in January 2021, after 10 years away from government service. She most recently worked at Michael Best Strategies, supporting initiatives in health care and human services transformation.

The Division of Public Health Services (PHS) is responsible for public health services programs and policies. PHS works with Departmental components, particularly those that fund the provision of direct care to vulnerable populations, including primary care, clinical preventive services, and related support services.

Making a Public Records Request for Department of Justice RecordsTo request records, you may email DOJ's Office of of Open Government at opengov@widoj.gov .To request records, you may also call the Office of Open Government at 608-267-2220, or send your written request to the attention of:

Wisconsin Department of Health Services Protecting and promoting the health and safety of the people of Wisconsin.

Wisconsin Department of Health Services Secretary-designee Karen Timberlake's Statement on CDC's New Indicators to Monitor COVID-19 Community Risk Levels.

Employees who test positive for COVID-19 or has symptoms of COVID-19 should: Stay home and isolate from other people for at least 5 full days.

The Department of Health Services (DHS) is one of the largest and most diverse state agencies in Wisconsin, with an annual budget of roughly $11.5 billion and more than 6,100 employees.

IRIS (Include, Respect, I Self-Direct) is a self-directed program for Wisconsin's frail elders and adults with disabilities. You have to be eligible for Medicaid to be in the IRIS program.

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Wisconsin Request for an Individuals Health Information