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*76880A* *76880A* MERCY HOSPITAL, IOWA CITY, IOWA AUTHORIZATION FOR RELEASE OF PROTECTED HEALTH INFORMATION #919 (08/07/23 updated) Page 1 of 1PATIENT INFORMATIONHealth Information Management, 500.
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Affiliates FAQ
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There are specific forms that coincide with this rule: Request of Access to Protected Health Information (PHI); Notice of Privacy Practices (NPP) Form; Request for Accounting Disclosures Form; Request for Restriction of Patient Health Care Information; Authorization for Use or Disclosure Form; and the Privacy Complaint ...
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To understand your legal duties as a covered entity, or your rights as a patient, you should become very familiar with these legal documents. The two most standard HIPAA forms are privacy forms (a.k.a. “notices of privacy practices”) and authorization forms (a.k.a. “release forms”).
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What is a HIPAA Authorization Form? The HIPAA Privacy Rule requires that an individual provide signed authorization to a covered entity, before the entity may use or disclose certain protected health information (PHI).
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The notice must describe the ways in which the covered entity may use and disclose protected health information. The notice must state the covered entity's duties to protect privacy, provide a notice of privacy practices, and abide by the terms of the current notice.
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The Health Insurance Portability and Accountability Act (HIPAA) lays out three rules for protecting patient health information, namely: The Privacy Rule. The Security Rule. The Breach Notification Rule.
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