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CONSENT TO RELEASE OF INFORMATION - University of Iowa

CONSENT TO RELEASE OF INFORMATION - University of Iowa 2025

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The document is a consent form from the University of Iowa Hospitals and Clinics (UIHC) that allows patients to authorize the release of their medical information to specified individuals or institutions. It outlines the types of information that can be disclosed, the reasons for the release, and includes provisions regarding the voluntary nature of consent, potential re-release of information, and expiration terms. The form requires patient details, recipient information, and specific categories of medical data to be shared.

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2018	4.9 Satisfied (22 Votes)
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2012	4.4 Satisfied (44 Votes)

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How do I fill out a release of information consent?

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.

What does signing a release of information mean?

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.

What is the meaning of information release?

Release of information means the dissemination of confidential information with consent.

What is the phone number for University of Iowa medical records?

There are several common reasons for the release of information, including medical treatment purposes, medical billing, insurance billing, health studies, legal proceedings, and marketing purposes. Sometimes a third party like an insurance company or an attorney needs to request your medical information.

What is information release consent?

The purpose of the authorization is to let former employers, educational institutions, and personal references know that the applicant about whom you are seeking information has consented to its release to you.

What does information release consent mean?

A copy of your confidential medical records can be provided to your insurance or sent to an employer, another university, or continuing care provider after you sign a release of information form available from the Health and Wellness Center.

What is an informed consent release?

The informed consent process involves three key features: (1) disclosing to potential research subjects information needed to make an informed decision; (2) facilitating the understanding of what has been disclosed; and (3) promoting the voluntariness of the decision about whether or not to participate in the research.

CONSENT TO RELEASE OF INFORMATION - University of Iowa 2025

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