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Cabell Huntington Hospital - Form 0748 Authorization to Use Disclose Health Information - cabellhunt

Cabell Huntington Hospital - Form 0748 Authorization to Use Disclose Health Information - cabellhunt-2025

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The document is an authorization form from Cabell Huntington Hospital for patients to permit the use or disclosure of their health information. It includes sections for patient details, recipient information, purpose of disclosure, specific information requested, and consent for releasing sensitive health data. The form outlines the patient's rights regarding the authorization and mentions potential fees associated with the request.

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Can health information be disclosed without patient authorization to?

A covered entity may disclose PHI without the individuals permission for treatment, payment, and health care operations purposes. For other uses and disclosures, the Privacy Rule generally requires the individuals written permission, which is an authorization that must meet specific content requirements.

How do I request medical records from Cabell Huntington Hospital?

To request your records in person, please come to the Health Information Management Department located on the ground level of the hospital. Please bring a picture ID for proof of identity. Office Hours: Monday - Friday: 8 a.m. to noon and 1 to 4:30 p.m.

What is an authorization to use or disclose protected health information?

A Privacy Rule Authorization is an individuals signed permission to allow a covered entity to use or disclose the individuals protected health information (PHI) that is described in the Authorization for the purpose(s) and to the recipient(s) stated in the Authorization.

When can you disclose information without consent?

Disclosure in the public interest may be justified if failure to make the disclosure could expose others to a risk of serious harm or death. This may arise where disclosure might assist in the prevention, detection or prosecution of a serious crime.

How to fill out authorization to disclose health information?

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.

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Can health information be disclosed without patient authorization to who?

A covered entity is permitted, but not required, to use and disclose protected health information, without an individuals authorization, for the following purposes or situations: (1) To the Individual (unless required for access or accounting of disclosures); (2) Treatment, Payment, and Health Care Operations; (3)

Cabell Huntington Hospital - Form 0748 Authorization to Use Disclose Health Information - cabellhunt-2025

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Can health information be disclosed without patient authorization to?

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