Anyone who receives information under this authorization receives the same under all limitations set forth in Federal and State law regarding further dissemination of such information.
Release: it shall expire in 180 days or upon written notice of revocation by the patient.
Hearing: if a hearing is pending, this release shall remain in effect until the hearing and shall expire on the date the hearing is held.
Waiver: it applies to the employee's medical history for any condition or complaint reasonably related to the condition for which such employee claims compensation.
Disclosure: this release does not authorize disclosure of protected health information relating to reproductive health; such disclosure would require a separate release.
| Question | Answer |
|---|---|
| Form Name | WC-207 |
| Form Length | 1 page |
| Fillable? | Yes |
| Fillable fields | 14 |
| Avg. time to fill out | 3 min |
| Edition | Rev 7/2025 |
| Issuing agency | Georgia State Board of Workers' Compensation |
| Matches the agency's file | Yes, checked October 3, 2026 |
| Other names | WC-207, WC 207, WC207, 207 form, Authorization and Consent to Release Medical Information |
| Official source | WC-207 (Rev 7/2025), Georgia State Board of Workers' Compensation |
Form Wc 207 isn’t the one you’re looking for?