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MHO Release of Information Request

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The document is a request form for releasing personal health information through My Health Online, a secure platform provided by Sutter Health. It outlines the process for accessing health records, including test results and appointment requests, while emphasizing confidentiality and legal restrictions on certain information. The form requires personal details, a signature for processing, and instructions for submission.

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Versions	Form popularity	Fillable & printable
2023	4.1 Satisfied (45 Votes)
2023	4.3 Satisfied (27 Votes)
2023	4.1 Satisfied (45 Votes)
2022	4.8 Satisfied (52 Votes)
2021	4.2 Satisfied (40 Votes)
2021	4.8 Satisfied (61 Votes)
2021	4.7 Satisfied (124 Votes)
2021	4.8 Satisfied (145 Votes)
2021	4.8 Satisfied (89 Votes)
2021	4.8 Satisfied (49 Votes)
2021	4.5 Satisfied (36 Votes)
2021	4.8 Satisfied (31 Votes)
2020	4.8 Satisfied (51 Votes)
2020	4.5 Satisfied (50 Votes)
2020	4.8 Satisfied (39 Votes)

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Got questions?

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

What is the purpose of a release of information?

Release of information (ROI) allows patients to release information from their medical records to authorized individuals or organizations.

What does release information mean?

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.

What is a HIPAA authorization for release of information?

A HIPAA release form is a document that when signed allows healthcare providers to share a patients protected health information (PHI) with specified individuals or organizations, ing to the details stipulated in the form.

When can you release HIPAA information?

The authorization must be obtained before any PHI can be disclosed. Specific instances of when a HIPAA medical release form (medical records release authorization form) is required include: Prior to any disclosure of PHI to a third party for any reason other than treatment, payment, or healthcare operations.

Can I sue my doctor for not releasing my medical records?

If you believe that your doctor or other health care provider violated your health information privacy right by not giving you access to your medical record, you may file a HIPAA Privacy Rule Complaint with the U.S. Department of Health and Human Services (HHS) Office for Civil Rights.

What is a release of information request?

A release of information is a document that gives a consumer the opportunity to decide what material they want released from their medical file, who they want it delivered to, how long the data can be issued, and under what statutes and guidelines it is released.

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