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CDCR 7385, Authorization for Release of Protected Health 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.
How do I fill out a HIPAA release form? Provide instructions. Name the patient and individual authorized to use or disclose their PHI. Describe the information. Specify recipients. Specify the purpose of disclosure. Specify the time period. Detail their revocation rights. Obtain the patients signature.
For additional information on requesting Health Records after a patient-inmates release from prison, please contact the California Correctional Health Care Services Health and Imaging Records Center, at (916) 379-4545.
An ROI is a form authorizing doctors to share a patients files. Without a signed ROI, providers cannot legally disclose medical details, even if sharing could help. The ROI allows care team membersdoctors, nurses, specialiststo communicate about treatment. This ensures all involved are aligned for coordinated care.
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Did you get a new job, or decide you want to try out a new area? Whatever the reason behind your move, you will also need copies of your medical records. Your new physician will want to see copies of your medical records to ensure they are up to date on your medical past.

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