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Patient Request to Access/Disclose a Designated Record Set ... 2025

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The document is a form for patients to request access or disclosure of their medical records from Kadlec and Affiliates. It outlines the process for submitting the request, including contact information for Health Information Management, and notes that social security numbers may be included in older records. The form allows patients to specify the recipient of the records, the method of delivery, and the types of information requested. It also includes a disclaimer regarding legal liability for disclosed information and emphasizes non-discrimination policies.

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2021	4.8 Satisfied (197 Votes)
2017	4.3 Satisfied (164 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Which type of privacy disclosure does not require authorization?

A covered entity may disclose PHI without the individuals permission for treatment, payment, and health care operations purposes. For other uses and disclosures, the Privacy Rule generally requires the individuals written permission, which is an authorization that must meet specific content requirements.

What are three instances when you can share PHI without obtaining patient authorization first?

A covered entity is permitted, but not required, to use and disclose protected health information, without an individuals authorization, for the following purposes or situations: (1) To the Individual (unless required for access or accounting of disclosures); (2) Treatment, Payment, and Health Care Operations; (3)

What are the two conditions that allow patient information to be disclosed?

A covered entity must disclose protected health information in only two situations: (a) to individuals (or their personal representatives) specifically when they request access to, or an accounting of disclosures of, their protected health information; and (b) to HHS when it is undertaking a compliance investigation or

What does designated record set mean?

A designated record set includes the following types of information: Enrollment, payment, claims adjudication, and medical management records maintained by or for a health plan. Medical records and billing records about individuals that are maintained by a physician or other provider.

Can individuals access their PHI within a designated record set?

The HIPAA Privacy Rule provides individuals with the right to inspect their PHI held in a designated record set, either in addition to obtaining copies or in lieu thereof, and requires covered entities to arrange with the individual for a convenient time and place to inspect the PHI.

if a patient wants to request a restriction on the disclosure of their phi

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What are the three 3 legal ways of disclosing medical records?

Mandatory disclosure of information Under the CMIA, medical information must be released when compelled: by court order. by a board, commission or administrative agency for purposes of adjudication. by a party to a legal action before a court, arbitration, or administrative agency, by subpoena or discovery request.

Patient Request to Access/Disclose a Designated Record Set ... 2025

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Which type of privacy disclosure does not require authorization?

What are three instances when you can share PHI without obtaining patient authorization first?

What are the two conditions that allow patient information to be disclosed?

What does designated record set mean?

Can individuals access their PHI within a designated record set?

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What are the three 3 legal ways of disclosing medical records?

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