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In 1996, Congress enacted HIPAA to protect the confidentiality and security of health records, particularly as they became electronic. The HITECH Act further extended privacy protections for all electronically stored and shared health records. When health records are requested, healthcare providers must comply with both HIPAA and HITECH. Most requests for health records come from external organizations rather than patients. HIPAA regulates who can access patient records, and each authorization for release must meet nine specific criteria, often requiring patient consent. Careful attention to detail is essential in processing these requests accurately and efficiently.