Last updated: 10/28/2024
Authorization And Consent To Release Information {WC-207}
Start Your Free Trial $ 13.99What you get:
- Instant access to fillable Microsoft Word or PDF forms.
- Minimize the risk of using outdated forms and eliminate rejected fillings.
- Largest forms database in the USA with more than 80,000 federal, state and agency forms.
- Download, edit, auto-fill multiple forms at once in MS Word using our Forms Workflow Ribbon
- Trusted by 1,000s of Attorneys and Legal Professionals
Description
WC-207 - AUTHORIZATION AND CONSENT TO RELEASE MEDICAL INFORMATION. This form from the Georgia State Board of Workers' Compensation is used to obtain an employee's consent to release medical information related to a workers' compensation claim. It allows healthcare providers to share medical records and treatment history with relevant parties, including employers, as required by state and federal laws. The form includes a waiver of confidentiality for communications and treatment related to the injury once a claim is submitted. It ensures compliance with the Georgia Workers' Compensation Act and federal regulations, including HIPAA. The authorization is valid for 180 days or until revoked, remaining in effect if a hearing is pending. The form must be signed by the employee, and it warns about the legal consequences of false statements related to benefits. www.FormsWorkflow.com
Related forms
-
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/6 Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/6 Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/6 Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/Workers Comp/ -
Georgia/6 Workers Comp/ -
Georgia/Workers Comp/
