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OH Cincinnati Childrens Authorization For Use And/or Disclosure Of Protected Health Information 2021
Get OH Cincinnati Childrens Authorization For Use And/or Disclosure Of Protected Health Information 2021-2024
Authorization for Use and/or Disclosure of Protected Health Information (PHI) MEDICAL RECORD #: CSN / ACCT #: (completed by CCHMC)Patient InformationThis form authorizes Cincinnati Childrens.
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Flowsheets FAQ
For help with medical records or more information about the Health Information Management Department at Cincinnati Children's, contact us at 513-636-4217.
A: “Consent” is a general term under the Privacy Rule, but “authorization” has much more specific requirements. The Privacy Rule permits, but does not require, a CE to obtain patient “consent” for uses and disclosures of PHI for treatment, payment, and healthcare operations.
A Privacy Rule Authorization is an individual's signed permission to allow a covered entity to use or disclose the individual's protected health information (PHI) that is described in the Authorization for the purpose(s) and to the recipient(s) stated in the Authorization.
Authorization. A covered entity must obtain the individual's written authorization for any use or disclosure of protected health information that is not for treatment, payment or health care operations or otherwise permitted or required by the Privacy Rule.
If your child is 18 years of age or older, it is REQUIRED by law that he or she sign a “Authorization for Use and / or Disclosure of Protected Health Information” form allowing release of the medical record, including to release the record to you.
A HIPAA authorization is consent obtained from an individual that permits a covered entity or business associate to use or disclose that individual's protected health information to someone else for a purpose that would otherwise not be permitted by the HIPAA Privacy Rule.
By completing the Authorization to Verbally Discuss Protected Health Information Form, it will allow us to talk about your medical care to those you have designated. This includes appointment and scheduling information, lab and test results, treatment information, and billing information.
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