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In 1996, Congress enacted HIPAA to protect the confidentiality and security of health records, with subsequent legislation, Hi-Tech, further extending privacy protections for electronic records. When a health record is requested, healthcare providers must comply with both HIPAA and Hi-Tech regulations. Contrary to common belief, most requests for health records come from outside groups rather than patients. HIPAA regulates who can access these records and mandates that every authorization meet nine specific criteria for disclosure, often requiring patient authorization. Additionally, request forms can vary significantly, necessitating careful attention to detail in processing these requests efficiently.