Colorado Hospital Authorization to Visit Form

State:
Multi-State
Control #:
US-5698
Format:
Word; 
Rich Text
Instant download

Description

Hospital Authorization to Visit Form: This Authorization form is signed by a patient seeking to limit his/her visitors to a certain few listed on the Authorization form. This form is to be signed by the requesting patient. This form is available in both Word and Rich Text formats.
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How to fill out Hospital Authorization To Visit Form?

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FAQ

With limited exceptions, the HIPAA Privacy Rule (the Privacy Rule) provides individuals with a legal, enforceable right to see and receive copies upon request of the information in their medical and other health records maintained by their health care providers and health plans.

The Colorado Medical Board recommends retaining all patient records for a minimum of 7 years after the last date of treatment, or 7 years after the patient reaches age 18 whichever occurs later. However, some types of records, like x-rays, must be retained for ten years.

Access to Health Records Act 1990 37. The Access to Health Records Act (AHRA) 1990 provides certain individuals with a right of access to the health records of a deceased individual.

Generally, only a patient can authorize the release of his or her own medical records. However, there are some exceptions to the rule and generally the following can sign a release: Parents of minor children. Legal guardian.

In Colorado you have the right to: See and get a copy of your medical record. you a copy of it within a reasonable time after they receive your request. Doctors generally must let you see or get a copy of your medical record within 30 days, and hospitals within 10 days.

You may request the form from your nurse, download the Authorization to Release Patient Health Information form from our website, or contact the medical records department directly at (303) 602-8000. For faxes please use (303) 602-8004.

The HIPAA Privacy rules define the rights of individuals, including members of Health First Colorado (Colorado's Medicaid Program) and all Medical assistance program beneficiaries and the obligations of providers and others regarding the individual's Protected Health Information (PHI).

Online Access to Your Health InformationCheck with your health care providers or doctors to see if they offer online access to your medical records. Terms sometimes used to describe electronic access to these data include personal health record, or PHR, or patient portal.

An authorization is a detailed document that gives covered entities permission to use protected health information for specified purposes, which are generally other than treatment, payment, or health care operations, or to disclose protected health information to a third party specified by the individual.

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Colorado Hospital Authorization to Visit Form