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The Privacy Rule gives individuals the right to revoke, at any time, an Authorization they have given. The revocation, however, cannot be accepted verbally, but must be in writing.
Should I sign this HIPAA Authorization for release of my medical records? No, you should not sign the HIPAA authorization for the release of your medical records. Often, the insurance company will act as though they cannot begin to decide how much money to offer you until they have all of your medical records.
Waiver of the HIPAA authorization requirement from the IRB. A waiver is a request to forgo the authorization requirement based on the fact that the disclosure of PHI involves minimal risk to the participant and the research cannot practically be done without access to/use of PHI.
The revocation must be in writing. An oral discussion between the subject and member of the research team does not revoke a HIPAA authorization. If the intent of the subject is to revoke, the principle investigator must provide a revocation form to the subject or request the subjects revocation in writing.
A HIPAA authorization is consent obtained from an individual that permits a covered entity or business associate to use or disclose that individuals protected health information to someone else for a purpose that would otherwise not be permitted by the HIPAA Privacy Rule.
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HEALTH INFORMATION IL 462-9401 (R-4-03) Page 1 of 1 The Health Insurance and Portability Act of 1996 (HIPAA), and the Mental Health and Developmental Disabilities (MHDD) Confidentiality Act provides an individual the right to revoke a previous authorization to disclose information at any time.
Refusing to sign the acknowledgement does not prevent a provider or plan from using or disclosing health information as HIPAA permits. If you refuse to sign the acknowledgement, the provider must keep a record of this fact.

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