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In 1996, Congress enacted HIPAA to safeguard the confidentiality and security of health records. With the rise of electronic records, Congress later introduced the Hi-Tech Act to extend privacy protections for all electronically stored and shared health information. When health record requests are made, healthcare providers must comply with both acts. While it may seem that only patients request their records, most requests actually come from external groups and organizations. HIPAA regulates who can access patient records and mandates that every authorization includes nine specific criteria for release. Each request form is unique, requiring careful attention to detail for proper and efficient fulfillment.