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  • Release Form - State Of Indiana - In

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Artifact, the description I have provided of the artifact as listed below, or any stories/memories shared related to the artifact or my personal experiences at Indiana state parks. I acknowledge that any artifacts included with this release will be returned only if accompanied by self addressed, properly sized envelope. Name Street Address City.

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Under Indiana medical records laws, only the patient, authorized representative, or an authorized health case worker has access to medical records, except by subpoena or other court order.

Along with Indiana's statutes, a federal law known as the Health Insurance Portability and Accountability Act (HIPAA) protects the confidentiality of medical records.

To obtain your own medical records: Obtain your medical records electronically. Print out the Consent to Release of Information form, and complete as many areas as you are able. Bring this completed form to the medical records department, and you can pick up your records.

Who owns my medical record? Under Indiana law, your health care provider owns the actual medical record. However, you have the right to see and get a copy of it.

In Indiana, medical records must be retained for a minimum of 7 years. Desert River Solutions makes it easy for you to ensure your patients have access to their medical records for the legally required amount of time.

A HIPAA authorization form, also known as a HIPAA release form, is a document that individual signs for their health provider before the entity may use or disclose their protected health information (PHI). HIPAA authorizes the sharing of PHI for the following purposes: Treatment. Payment. Healthcare Operations.

Medical professionals are responsible for recording your treatments, diagnosis, and prescriptions. They create the physical (or electronic) file and record your treatment information into it. Their claim to ownership of a patient's file rests on the creation of such documents.

(a) A provider or medical records company that receives a request for a copy of a patient's medical record shall charge not more than the following: (1) One dollar ($1) per page for the first ten (10) pages. (2) Fifty cents ($. 50) per page for pages eleven (11) through fifty (50).

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232