Authorization Release Form For Medical Records In Ohio

State:
Multi-State
Control #:
US-00460
Format:
Word; 
Rich Text
Instant download

Description

The Authorization Release Form for Medical Records in Ohio serves as a crucial document for patients who wish to authorize the release of their medical history to specific parties. This form allows all healthcare providers, including physicians, hospitals, and clinics, to share medical information with authorized individuals while ensuring compliance with HIPAA regulations. Key features of the form include the explicit permission for the release of sensitive health information, which can include mental health records and substance abuse details, thus safeguarding patient confidentiality. It is designed to be straightforward, allowing users to complete it easily by filling in basic information such as their name, the other party's name, and the date. Attorneys, paralegals, and legal assistants may find this form particularly useful for gathering necessary medical records in cases involving personal injury claims or medical malpractice. The flexibility of the form allows users to revoke the authorization at any time, ensuring patients maintain control over their health information. As a reliable and user-friendly resource, this form facilitates the efficient management of medical records in legal contexts.
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FAQ

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.

Option 1: Request medical records online (eRequest) through HealthMark. Request fulfilled in approximately 3 days. Option 2: Submit a written request: Step 1: Fill out Authorization – Release of Information form.

Retention of Medical Records Most states, including Ohio, do not have specific laws mandating the minimum record retention period for patient medical records. However, HIPAA and the Ohio Medicaid rules mandates the retention of records for a period of at least six (6) years after payment of the claim to the provider.

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.

Option 1: Request medical records online (eRequest) through HealthMark. Request fulfilled in approximately 3 days. Option 2: Submit a written request: Step 1: Fill out Authorization – Release of Information form.

For additional information during normal business hours, please call Ohio State's Medical Information Management: Main Campus at 614-293-8657. East Hospital at 614-257-2544.

Rule 5122-27-06 | Release of information. (A) Each request for information regarding a current or previous client shall be accompanied by an authorization for release of information, except as specified in sections 5119.27, 5119.28, and 5122.31 of the Revised Code.

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Authorization Release Form For Medical Records In Ohio