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  • Request For An Accounting Of Disclosures Of Protected Health Information By Parent, Guardian Or

Get Request For An Accounting Of Disclosures Of Protected Health Information By Parent, Guardian Or

AN OR LEGAL REPRESENTATIVE File Number: You have the right to request the Department of Health Care Services to account for the disclosures of personal California Children s Services (CCS) protected health information. You are not entitled to an accounting of disclosures to carry out treatment, payment, or health care operations; when you have authorized the disclosure; or when the disclosure is to the CCS client s family, relatives, or others involved in the client s c.

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An individual or his or her Personal Representative may request an accounting of Accountable Disclosures of the patient's PII made by CDPH for up to three years preceding the request. The individual may make the request for an accounting in writing or orally.

A disclosure of Protected Health Information (PHI) refers to the act of transmitting that information to an individual or organization outside the covered entity. It can also involve sharing PHI from a healthcare component to a non-healthcare component within a hybrid entity.

An individual or his or her Personal Representative may request an accounting of Accountable Disclosures of the patient's PII made by CDPH for up to three years preceding the request. The individual may make the request for an accounting in writing or orally.

The HIPAA Privacy Rule gives a person the right to request a written record (“an accounting”) when a covered entity has made certain disclosures of that person's protected health information (“PHI”).

Patients (or their Personal Representatives – see Yale Policy 5038 - Personal Representatives) may request an accounting of disclosures by submitting a request in writing using the Request for Accounting of Disclosures of Protected Health Information form, or other sufficient written documentation requesting the ...

Examples of this are public health activities (reporting vital statistics, communicable diseases, cancer/tumor registries), reports about victims of abuse, neglect, or domestic violence, releases as a result of a subpoena, disclosures about decedents to coroners, medical examiners, or funeral directors, and other ...

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© Copyright 1997-2025
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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