This form is a consent to the release of medical history. The patient authorizes the release of his/her medical history to the specified party within the consent release form. The form also provides that all prior authorizations are cancelled.
Authorization Release Form For Medical Records In Minnesota
State:
Multi-State
Control #:
US-00460
Format:
Word;
Rich Text
Instant download
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FAQ
§ 144.293, subdivision 4) Existing law provides that a consent for the release of health records from a patient or the patient's representative is valid for a period provided by law. This provision may mean state or federal law. This section clarifies that the consent is valid for a period provided by Minnesota law.
Release of Information Authorization Under the HIPAA Privacy Rule, when a release of information is intended for purposes other than medical treatment, healthcare operations, or payment, you'll need to sign an authorization for ROI.
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.
The Minnesota Health Records Act is in Minnesota Statutes 144.291-. 298 (formerly part of Minnesota Statutes 144.335).
Minnesota Rules 1205.1400, subpart 3, requires that individuals giving informed consent have sufficient mental capacity to understand the consequences of their decision to give consent. Minnesota Rules 1205.1400, subpart 4, requires that a valid informed consent must: Be voluntary and not coerced. Be in writing.
Obtaining Your Medical Records You have the right to obtain your medical records in Minnesota. ing to Minnesota Statute 144.292, a medical provider must promptly respond to a patient's written request to obtain their records. The information they provide must be current and complete.