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In 1996, Congress enacted HIPAA to protect the confidentiality and security of health records. With the increase in electronic records, hi-tech was later enacted to extend privacy protection. Health care providers must comply with both acts when fulfilling record requests. Patient records are commonly requested by outside groups, not just patients. HIPAA governs who can access patient records and requires specific criteria for release. Detailed attention is crucial when fulfilling requests, as no two request forms are the same.