Authorization for Release of Medical Records - UMC 2025

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The document is a Protected Health Information (PHI) Release Authorization form for patients at University Medical Center of Southern Nevada. It allows patients to authorize the release of their medical records, specify the types of information to be disclosed, and designate recipients for this information. The form includes sections for patient details, dates of service, types of records requested, and legal disclaimers regarding the authorization process.

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Who authorizes release of medical information?

The person who authorizes the release of medical information is primarily the patient, as established by HIPAA. Patients have the right to control access to their medical information and can specify who can view it.

Should I accept or decline HIPAA authorization?

Textbook Expert-Verified⬈(opens in a new tab) The correct answer is B. Under HIPAA, when authorization is required to disclose health information, it must include specific core elements defined by the law.

What is authorization for release of medical records HIPAA compliant?

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 HIPAA requires authorization to disclose information, the authorization must what?

The scenarios in which a valid HIPAA authorization form is required are listed in 164.508 and include: Prior to disclosing PHI for marketing purposes. Prior to disclosing PHI for fundraising purposes. Prior to disclosing PHI to a research organization. Prior to disclosing PHI in psychotherapy notes.

How to write an authorization to release medical records?

I, the undersigned, authorize the release of, or request access to the information specified below from the medical record(s) of the above name patient. I understand that my records are confidential and cannot be disclosed without my written authorization, except when otherwise permitted by law.

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What must an authorization be under HIPAA?

All authorizations must be in plain language, and contain specific information regarding the information to be disclosed or used, the person(s) disclosing and receiving the information, expiration, right to revoke in writing, and other data.

Authorization for Release of Medical Records - UMC 2025

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Who authorizes release of medical information?

Should I accept or decline HIPAA authorization?

What is authorization for release of medical records HIPAA compliant?

When HIPAA requires authorization to disclose information, the authorization must what?

How to write an authorization to release medical records?

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What must an authorization be under HIPAA?

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