Ddap Form PDF Details

Form ddap is a authorization form that you must fill out to get access to your medical records. The form can be found on the website of the Pennsylvania Department of Health. Once you have filled out the form, you can print it and fax or mail it to the department. You will need to include your name, date of birth, social security number, and mailing address on the form. Please allow up to two weeks for processing. If you have any questions about filling out the form or submitting it, please contact the department at 717-783-2316. Thank you for your cooperation!

Form NameDdap Form
Form Length10 pages
Fillable fields0
Avg. time to fill out2 min 30 sec
Other namesddap form online, ddap forms, connecticut ddap, ddap ct

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