Consent Form For Release Of Information In Hennepin
State:
Multi-State
County:
Hennepin
Control #:
US-00460
Format:
Word;
Rich Text
Instant download
Description
The Consent Form for Release of Information in Hennepin is designed to authorize physicians, hospitals, and other medical professionals to share a user's medical history and reports with specified individuals or entities. It specifically allows for the examination of hospital records and other medical documents, while emphasizing that this information must not be disclosed to others without written consent. The form is compliant with the Health Insurance Portability and Accountability Act (HIPAA), ensuring that the user's rights regarding their health information are respected. To fill out the form, users should clearly provide their name, the name of the designated recipient, and the date of signing. Legal professionals such as attorneys, partners, owners, associates, paralegals, and legal assistants will find this form useful in various cases, including client authorizations for medical record requests in personal injury claims or health care proceedings. It simplifies the sharing of sensitive medical information while ensuring privacy is maintained, thus serving as a critical tool in legal contexts concerning health care rights and information management.
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