The releasor authorizes his/her employer to release employment references including, but limited to, his/her employment history and wages and any information which may be requested relative to his/her employment, employment applications, and other related matters, and to furnish copies of any and all records which the employer may have regarding his/her employment.
Release Of Information Form Counseling In Alameda
Category:
State:
Multi-State
County:
Alameda
Control #:
US-00458
Format:
Word;
Rich Text
Instant download
Description
Form popularity
FAQ
A: In California, you do need to give workers' compensation the medical information they need. The Workers' Compensation Medical Records Disclosure Act says that details about an injury and its diagnosis and treatment must be shared so that the claim can be processed.
As long as you requested your medical records in writing, to be sent directly to you (and not to anyone else, like your new doctor), the physician is required to send you a copy within specified time limits. If you are having difficulty getting your records, you can file a complaint with the Medical Board.
As long as you requested your medical records in writing, to be sent directly to you (and not to anyone else, like your new doctor), the physician is required to send you a copy within specified time limits. If you are having difficulty getting your records, you can file a complaint with the Medical Board.
To request review or release of your CDCR health care records or information, you should complete a CDCR Form 7385 (Authorization for Release of Protected Health Information).
Clinical record means a paper or electronic file that is main- tained by the provider and contains pertinent psychological, medical, and clinical information for each person served.
What is CMIA? The Confidentiality of Medical Information Act (CMIA) is a California law that protects the confidentiality of individually identifiable medical information obtained by health care providers, health insurers, and their contractors.
