Affidavit Of Medical Records Without Authorization

State:
Mississippi
Control #:
MS-62449
Format:
Word; 
Rich Text
Instant download

Description

An Affidavit is a sworn, written statement of facts, signed by the 'affiant' (the person making the statement) before a notary public or other official witness. The affiant swears to the truth and accuracy of the statement contained in the affidavit. This document, an Affidavit of Custodian of Medical Records , is a model affidavit for recording the type of information stated. It must be signed before a notary, who must sign and stamp the document. Adapt the text to fit your facts. Available for download now in standard format(s). USLF control no. MS-62449
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FAQ

The Access to Health Records Act (AHRA) 1990 provides certain individuals with a right of access to the health records of a deceased individual.

If it is not practicable or appropriate to seek consent, and in exceptional cases where a patient has refused consent, disclosing personal information may be justified in the public interest if failure to do so may expose others to a risk of death or serious harm.

Access. Only you or your personal representative has the right to access your records. A health care provider or health plan may send copies of your records to another provider or health plan only as needed for treatment or payment or with your permission.

When the disclosure request is made under the AHRA and the patient is deceased (i.e. by a personal representative or other person who might have a claim), only records created in connection with the care of the patient are disclosable.

General Rules HIPAA provides that individuals generally have a right to access their own healthcare records.

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Affidavit Of Medical Records Without Authorization