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In 1996, Congress enacted HIPAA to protect the confidentiality and security of health records, especially as records transitioned to electronic formats. The enactment of the Hi-Tech Act further extended privacy protections for electronically stored and shared health records. Healthcare providers must comply with both HIPAA and Hi-Tech when responding to health record requests. Contrary to popular belief, most record requests are made by external groups rather than patients themselves. HIPAA regulates who can access patient records, mandating nine specific criteria for authorization before any records can be released. Attention to detail is crucial when fulfilling these requests, as no two request forms are identical.