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In 1996, Congress enacted HIPAA to ensure the confidentiality and security of health records, especially as they became more electronic. The subsequent HiTech Act further extended privacy protections for electronically stored and shared health records. When a health record is requested, healthcare providers must comply with both HIPAA and HiTech. While many may assume only patients request their records, most requests actually come from external groups. HIPAA governs who can obtain patient records, requiring specific authorization that includes nine criteria. Each request form varies, and attention to detail is essential for proper and efficient processing.