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What is a HIPAA Release authorization?

HIPAA Authorization is a document that authorizes the release of medical records which are protected under HIPAA. The authorization names designated representatives who may receive protected medical records, despite the privacy protections of HIPAA.

What should be included in a authorization for release of information?

The core elements of a valid authorization include: A meaningful description of the information to be disclosed. The name of the individual or the name of the person authorized to make the requested disclosure. The name or other identification of the recipient of the information.

Can I mail forms to Social Security?

If you download, print and complete a paper form, please mail or take it to your local Social Security office or the office that requested it from you. Important Note: PDFs you open from this page may default to opening within a browser, depending on your browser settings.

What is PHI release?

Health Information (PHI) There are times when you may want your PHI released to other individuals like a spouse, parent, guardian or other family member. Because your records are confidential, we will need your signed consent to release your PHI.

What is included in the release of patient information?

The patients legal name, date of birth, gender, Social Security number, address, telephone number, guarantor, subscriber, or next-of-kin are key identifying elements that assist in establishing the proper individual.

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