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.
Reasons For Release Of Information In Massachusetts
Category:
State:
Multi-State
Control #:
US-00458
Format:
Word;
Rich Text
Instant download
Description
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FAQ
The primary purpose of a release of information form is to protect the patient's privacy and ensure that their medical information is only shared with their consent. It empowers patients to control who has access to their personal health data and under what circumstances.
Massachusetts is the seventh-smallest state in the United States. It is located in the New England region of the Northeastern United States. It has an area of 10,555 square miles (27,340 km2), 25.7% of which is water. Several large bays distinctly shape its coast, giving it the nickname "the Bay State".
Name: full name, maiden name, mother's maiden name, or alias. Personal identification numbers: social security number (SSN), passport number, driver's license number, taxpayer identification number, patient identification number, financial account number, or credit card number.
PII is a specific category of particularly sensitive data defined as follows: Information that includes a Massachusetts resident's first name and last name or first initial and last name in combination with any one or more of the following data elements that relate to such resident: Social Security number (SSN).
Any information that is linked or reasonably linkable to an identified or identifiable natural person.
Massachusetts law (Chapter 112) and Federal law (45 CFR; HIPAA, 1996) require that you are advised regarding how personal information about you may be used and disclosed and how you can get access to this information.
The only times a psychologist would break confidentiality are in the event of threats of harm to self or other; reports that a child (under 18 years of age) or an elder (60 years and older) is being abused or neglected in some way; or if there is a subpoena or court order.
Cause of action. (15c) A group of operative facts giving rise to one or more bases for suing; a factual situation that entitles one person to obtain a remedy in court from another person; claim after the crash, Aronson had a cause of action.
A business record shall not be inadmissible because it is hearsay or self-serving if the court finds that (i) the entry, writing, or record was made in good faith; (ii) it was made in the regular course of business; (iii) it was made before the beginning of the civil or criminal proceeding in which it is offered; and ( ...
