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