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 Mental Health In Utah
Category:
State:
Multi-State
Control #:
US-00458
Format:
Word;
Rich Text
Instant download
Description
Form popularity
FAQ
If you have any questions, please call our Access Center at 1-833-UT-CARES (1-833-882-2737). You can also view your medical record online through your MyUTHA Patient Portal.
To apply for parts of or all of your record, please complete a Subject Access Request form. This form must be signed by hand and returned with two forms of identification (as given in the request form).
Patients can request their records through MyChart. Login to MyChart. Select "Health". Select "Medical Records Request Form".
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.
In Utah, where I practice, the physician and/or hospital owns the record, meaning that a patient must go through a hospital medical records department, oftentimes with considerable delay, to get their own information. Many systems provide limited access to information through Web portals such as MyChart.
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.
Patients can request their records through MyChart. Login to MyChart. Select "Health". Select "Medical Records Request Form".
