Alaska Authorization to Release Confidential Records

State:
Multi-State
Control #:
US-PI-0312
Format:
Word; 
Rich Text
Instant download

Description

This form authorizes the release of plaintiff's confidential medical records to plaintiff's attorney.

Alaska Authorization to Release Confidential Records is a legal document that grants permission to disclose private and confidential information. This authorization is commonly used in various scenarios such as medical, educational, employment, and legal matters. It allows individuals to give consent for the release of their confidential records to specific parties or organizations. In Alaska, there are several types of Authorization to Release Confidential Records, tailored to various purposes. Here are some of the different types: 1. Medical Records Release Authorization: This form grants healthcare providers or hospitals the authority to share an individual's medical records with designated individuals, such as other doctors, insurance companies, or legal representatives. It ensures the seamless flow of information and assists in providing the necessary medical care and treatments. 2. Educational Records Release Authorization: Educational institutions, like schools or colleges, may require this authorization to share a student's educational records, including academic transcripts, disciplinary records, or individual education plans (IEPs), with authorized individuals, such as parents, legal guardians, or other educational institutions. This allows for the smooth transfer of educational information for various purposes like enrollment, scholarships, or special education services. 3. Employment Records Release Authorization: This authorization is commonly used during the hiring process. It permits employers or background check agencies to access an individual's employment records, including past job performance, salary history, references, and other relevant information. It ensures employers have the necessary information to make informed decisions during the hiring process. 4. Legal Records Release Authorization: Individuals involved in legal proceedings, such as civil lawsuits or criminal cases, might be required to grant consent for the release of their confidential legal records. This includes court records, police reports, witness statements, or any other documents essential for litigation. It enables authorized parties, including attorneys, judges, or opposing parties, to access the necessary information for legal purposes. Please note that the types mentioned above are not exhaustive and may vary based on specific situations. The Alaska Authorization to Release Confidential Records is designed to protect an individual's privacy while allowing the controlled disclosure of confidential information, ensuring it is only shared with authorized individuals or organizations.

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FAQ

ALASKA STAT. § 18.20. 085: A hospital must retain its patient records for 7 years following the discharge of the patient. In the case of a minor patient, the records must be retained for 2 years after the patient reaches the age of 19 years or until 7 years following the discharge of the patient, whichever is longer.

The State of Alaska's Open Meetings Act (AS 44.62. 310-. 312) requires that all meetings of a public entity's governing body be open to the public and that the body provide reasonable notice of its meetings.

Alaska Public Records Act A.S. §09.25. 110 et seq. Exempt: Juvenile, adoption, medical and public health; library lending; names of victims of certain types of sexual assault; and some law enforcement records. Visit, Alaska Sample FOIA Request, to view a sample FOIA request for the state.

(a) Unless specifically provided otherwise, the public records of all public agencies are open to inspection by the public under reasonable rules during regular office hours. The public officer having the custody of public records shall give on request and payment of the fee established under this section or AS 40.25.

Under the Alaska Public Records Act (AS 40.25. 100 ? 40.25. 295), a person may request a public agency's public records. The agency must disclose the requested records unless they are protected from disclosure by a state or federal law, including a court order, or are statutorily excluded from the Act.

The state hidden camera law applies only to images ? whether film or photograph, in print or electronic ? that include nudity. A person who views or produces a picture of a nude or partially nude person without consent commits the crime of ?indecent viewing or production of a picture.? Alaska Stat. Ann. § 11.61.

100 ? 40.25. 295), a person may request a public agency's public records. The agency must disclose the requested records unless they are protected from disclosure by a state or federal law, including a court order, or are statutorily excluded from the Act.

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I hereby authorize the Division of Personnel & Labor Relations, Employee Records Unit, to release or to approve the release of confidential records maintained ... I hereby authorize the use or disclosure of my health care and/or other information as described above. I understand that this authorization is voluntary.I AUTHORIZE THE FOLLOWING TO BE RELEASED FROM MY MEDICAL RECORDS ... **** Some records may contain sensitive/confidential information and require a separate ... This form must be retained in the medical record and a copy should be provided to the client if requested. QUESTIONS? Contact the API Privacy Official at ... Staff Will Fill Out This Section If Patient Signature. is Not Obtained. Our office made a good faith effort to obtain Acknowledgment of Receipt of our Notice ... Fill out the form in our online filing application. Download a fillable version of the form by clicking the link below or browse more documents and templates ... The written consent shall also bear a statement acknowledging that the individual authorizing the disclosure is informed the right to refuse to sign the consent ... This form is used to release your protected health information as required by federal and state privacy laws. Your authorization allows TCC to release your ... This authorization is valid for: □ A one-time disclosure for treatment received on or prior to this request. □ A continuing disclosure for treatment received ... This Authorization expires One year from the date of signature. Signature of Client / Guardian or Representative. Print Guardian or Representative Name. Date.

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Alaska Authorization to Release Confidential Records