AUTHORIZATION TO RELEASE MEDICAL RECORD INFORMATION 2025

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Content for a valid authorization includes: The name of the person or entity authorized to make the request (usually the patient) The complete name of the person or entity to receive the protected health information (PHI) A specific description of the information to be used or disclosed, including the dates of service.
Textbook Expert-Verified⬈(opens in a new tab) The correct answer is B. Under HIPAA, when authorization is required to disclose health information, it must include specific core elements defined by the law.
I, the undersigned, authorize the release of, or request access to the information specified below from the medical record(s) of the above name patient. I understand that my records are confidential and cannot be disclosed without my written authorization, except when otherwise permitted by law.
The scenarios in which a valid HIPAA authorization form is required are listed in 164.508 and include: Prior to disclosing PHI for marketing purposes. Prior to disclosing PHI for fundraising purposes. Prior to disclosing PHI to a research organization. Prior to disclosing PHI in psychotherapy notes.
All authorizations must be in plain language, and contain specific information regarding the information to be disclosed or used, the person(s) disclosing and receiving the information, expiration, right to revoke in writing, and other data.
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A Privacy Rule Authorization is an individuals signed permission to allow a covered entity to use or disclose the individuals protected health information (PHI) that is described in the Authorization for the purpose(s) and to the recipient(s) stated in the Authorization.

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