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In 1996, Congress enacted HIPAA to safeguard the confidentiality and security of health records, especially as they transitioned to electronic formats. The subsequent enactment of the Hi-Tech Act further extended privacy protections for all electronically stored and shared health records. Today, healthcare providers must adhere to both acts when responding to record requests. Contrary to the belief that only patients request their records, the majority of requests come from external groups and organizations. HIPAA regulates who can access patient records, and any authorization to release these records must meet nine specific criteria. Attention to detail is essential in processing these requests efficiently and accurately.