TX HHS Form 1826-D. Case Information Release

The TX HHS Form 1826-D, Case Information Release, is a crucial document that enables individuals to authorize the release of their case record information to specific persons or agencies. This form helps solve the problem of sharing sensitive health information with authorized parties, ensuring that clients can manage their records and receive necessary services.

This form requires key information, including the client's name, case number, and signature. The client must authorize the release of their case record, which may contain protected health information. They can choose to release all or part of their record, specifying the purpose(s) of the release in Part A. The authorization expires on a specified date, as outlined in Part B.

Once the form is completed and signed, the client's information will be available to the authorized person or agency until the expiration date. It is essential for clients to understand that they can withdraw their permission at any time, unless HHSC has already taken action based on their authorization. The form also outlines the client's rights to request and review their information, as well as correct any incorrect data.

• The TX HHS Form 1826-D is used by clients to authorize the release of their case record information to specific persons or agencies.
• The form requires the client's name, case number, and signature.
• Authorized parties can request all or part of the client's case record.