TX HHS Form 2277. Client Information Release

The TX HHS Form 2277, Client Information Release, is a crucial document that enables individuals to authorize the release of their personal information to specific persons or agencies. This form helps solve the problem of facilitating access to a continuum of services available through the Area Agency on Aging (AAA) or its providers.

This authorization form requires completion of Parts A, B, and C by the individual or personal representative. Key features include the release of all or part of the individual's information, which may contain protected health information. The form also includes sections for specifying the purpose of release, expiration date, and signature of the individual or personal representative.

The TX HHS Form 2277, Client Information Release, is typically used in scenarios where an individual needs to access a range of services provided by the AAA or its partners. This form should be completed when an individual wants to authorize the release of their information for the purpose of assessing, arranging, and meeting their service needs. It's essential to note that this authorization expires at the point of reassessment or within three years of the effective date.