Medical Records Release Consent Form In Chicago

State:
Multi-State
City:
Chicago
Control #:
US-00459
Format:
Word; 
Rich Text
Instant download

Description

This Consent to Release of Financial Information authorizes all banks, financial institutions, businesses, employers, credit reporting agencies and any other businesses to which this person is indebted or have assets located, to provide information concerning his/her finances and assets, without liability, to the person or entity named in this Consent form. This form is applicable in any state.

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FAQ

You can submit your medical records request via email or mail to the hospital from which you're seeking the records. If you send via mail, please address the envelope to the attention of the Health Information Management Department at the hospital. You also can stop in and drop off your request in person.

The Illinois Freedom of Information Act (FOIA) is designed to ensure that Illinois residents can obtain information about their government. In 2009, Attorney General Lisa Madigan worked with legislators and a diverse group of individuals and organizations to strengthen FOIA and hold government more accountable.

FOIA contains an exemption for records that, if disclosed, would result in a “clearly unwarranted invasion of personal privacy.” An “unwarranted invasion of personal privacy” means the “disclosure of information that is highly personal or objectionable to a reasonable person and in which the subject's right to privacy ...

(c) Every hospital shall preserve its medical records in a format and for a duration established by hospital policy and for not less than 10 years, provided that if the hospital has been notified in writing by an attorney before the expiration of the 10 year retention period that there is litigation pending in court ...

The law requires “data collectors” that own or licenses personal information for any Illinois resident to notify the Illinois resident if there has been any “breach” in the “data collectors” computer systems.

Illinois law stipulates that all medical professionals must obtain a patients' informed consent before a procedure which includes disclosing information about the nature of the procedure, the expected and potentially unexpected results, risks, complications, and alternatives.

FOIA is the state Freedom of Information Act. Under the Illinois Freedom of Information Act (5 ILCS 140), records in the possession of public agencies may be accessed by the public upon written request.

Under the Illinois Hospital Licensing Act, healthcare facilities must retain the medical records of every patient as per hospital policy and for at least ten years. This act implies that a subpoena for medical records in Illinois can go ten years back.

Illinois law works in tandem with federal regulations regarding medical records, under the federal law known as the Health Insurance Portability and Accountability Act (HIPAA). HIPAA requires doctors and their staff to keep your medical records strictly confidential.

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Medical Records Release Consent Form In Chicago