Privacy Act of 1974 (As Amended) Public Law 93-579, as-2025

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The document is an 'Authorization for Disclosure of Medical or Dental Information' form, which complies with the Privacy Act of 1974. It allows individuals to authorize the release of their protected health information to specified third parties for various purposes such as personal use, insurance, and continued medical care. The form outlines the rights of the individual regarding their health information, including the ability to revoke authorization and the implications of disclosing information to non-compliant entities.

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2023	4.1 Satisfied (39 Votes)
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What is the Privacy Act of 1974 in simple terms?

In the vast majority of cases, however, there are no Federal laws that either prohibit or authorize the use of the SSN. Consequently, governmental and nongovernmental entities use the SSN as a personal identifier for lawful purposes because of its availability as a unique identifier.

Is it illegal to use SSN for identification?

Both privacy laws address similar needs, but that does not mean that they are alike in every way. The big difference is in what the acts apply to. HIPAA pertains only to public and private entities working with PHI, while the Privacy Act governs federal agencies regardless of function.

What does the Privacy Act prohibit?

Under the Privacy Acts disclosure provision, agencies generally are prohibited from disclosing records by any means of communication written, oral, electronic, or mechanical without the written consent of the individual, subject to twelve exceptions.

What is the main purpose of the Privacy Act of 1974?

Broadly stated, the purpose of the Privacy Act is to balance the governments need to maintain information about individuals with the rights of individuals to be protected against unwarranted invasions of their privacy stemming from federal agencies collection, maintenance, use, and disclosure of personal information

What are the key points of the Privacy Act?

The Privacy Act provides protections to individuals in three primary ways. It provides individuals with: the right to request their records, subject to Privacy Act exemptions; the right to request a change to their records that are not accurate, relevant, timely or complete; and.