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In 1996, Congress enacted HIPAA to protect the confidentiality of health records, with the recent hi-tech extension expanding privacy protection to electronically stored records. Today, healthcare providers must comply with both acts when fulfilling record requests. Outside groups make most record requests, not just patients. HIPAA governs who can access patient records, with nine specific criteria required for release. Requests often need patient authorization, with no two request forms being the same. Attention to detail is crucial for fulfilling requests accurately and efficiently.