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Update to Use and Release of Health Information Authorization Form

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The Use and Release of Health Information Authorization form on the Forms page of the Texas Medicaid & Healthcare Partnership (TMHP) website has been updated to remove an incorrect address. Use and Release of Health Information Authorization forms should be faxed to 512-514-4225 or mailed to:

TMHP TPL/Tort Department

PO Box 202948

Austin, TX, 78720-2948