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In 1996, Congress enacted HIPAA to protect the confidentiality and security of health records. The HI-TECH Act extended privacy protection to electronic health records. Health care providers must comply with both acts when fulfilling record requests. The majority of requests come from outside groups, not patients. HIPAA dictates who can access patient records and sets criteria for authorization. Attention to detail is crucial for efficiently fulfilling requests. Patient authorization is often required, and no two request forms are the same.