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 Colorado In Clark
Category:
State:
Multi-State
County:
Clark
Control #:
US-00458
Format:
Word;
Rich Text
Instant download
Description
Form popularity
FAQ
Providers: The Medical Board of Colorado recommends retaining all patient records for a minimum of seven years after the last date of treatment.
Health Insurance Portability and Accountability Act HIPAA is a U.S. law designed to provide privacy standards to protect patients' medical records and other health information provided to health plans, billing/coding companies, doctors, hospitals and other health care providers (known as 'covered entities').
Medical records shall be preserved as original records, in a manner determined by the hospital, for the period of minority plus ten (10) years (i.e., until the patient is age 28) or ten (10) years after the most recent patient usage, whichever is later.
If you have questions or need instructions on how to request your medical record by alternate means, then please contact Medical Records Management at (303) 312-9799 or records@coloradocoalition. Authorization to Disclose Protected Health Information (PHI) Form, CLICK HERE.
If you are requesting your own health and/or behavioral health records or a designated representative is requesting on your behalf, the following will need to be provided: A valid authorization form that specifies what records are being requesting. A copy of your current, valid photo ID.
In 2023, the governor signed Colorado House Bill 23-1218, the “Patients' Right to Know Act,” into law. This law protects a person's right to make informed choices about their health and consent to their medical treatment. end-of-life health-care services.
(B) The health-care provider must provide the medical records in electronic format if the person requests electronic format, the original medical records are stored in electronic format, and the medical records are readily producible in electronic format.
