Release Of Information For Therapist In Utah

State:
Multi-State
Control #:
US-00458
Format:
Word; 
Rich Text
Instant download

Description

The Release of Information for Therapist in Utah is a legal document that authorizes a therapist to disclose a client's sensitive information to specified parties. This form is crucial for maintaining confidentiality while enabling communication between a therapist and other involved individuals, such as family members or legal representatives. Key features of the form include the specification of the parties authorized to receive information, the scope of information to be released, and a clause that releases the therapist from liability regarding the release of such information. When filling out the form, users must clearly identify the therapist, the client, and the individuals authorized to receive the information. It is essential to note that this authorization remains in effect until revoked in writing by the client. The form is particularly useful for attorneys, partners, owners, associates, paralegals, and legal assistants who may need to facilitate the exchange of information for legal, medical, or therapeutic purposes. It ensures that clients can maintain control over their personal information while still allowing for necessary collaboration in treatment or legal matters.

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FAQ

Patients can request their records through MyChart. Login to MyChart. Select "Health". Select "Medical Records Request Form".

Vital Records BIRTH RECORDSFEES Duplicate Copies requested with initial search $10.00 Stillbirth Certificate $18.00 Affidavit or Acknowledgment of Paternity – Over One Year Old (includes one certified copy) $27.00 Affidavit or Acknowledgment of Paternity – Under One Year Old (includes one certified copy) $22.007 more rows

Utah Laws for Adults' Medical Record Retention Medical records shall be retained for at least seven years.

In no case shall the record be retained less than seven years. (8) All patient records shall be retained within the clinic upon change of ownership. (9) Provision shall be made for filing, safe storage, security, and easy accessibility of medical records. (10) Medical record information shall be confidential.

Content for a valid authorization includes: The name of the person or entity authorized to make the request (usually the patient) The complete name of the person or entity to receive the protected health information (PHI) A specific description of the information to be used or disclosed, including the dates of service.

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Release Of Information For Therapist In Utah