Delaware Authorization to Use or Disclose Protected Health Information

State:
Multi-State
Control #:
US-3580
Format:
Word; 
Rich Text
Instant download

Description

This form is used by an individual to consent to the use or disclosure of protected health information as described within. The individual also indicates the acknowledgment of his or her rights regarding consent to the use and disclosure of the information.
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FAQ

A patient authorization for the disclosure of protected health information is a formal document that grants permission to a healthcare provider or entity to share limited PHI with specified individuals or organizations. This authorization must be clear, specific, and comply with Delaware Authorization to Use or Disclose Protected Health Information laws. This process helps protect patient privacy while allowing necessary communication.

You need to get authorization whenever you intend to disclose protected health information for purposes outside the patient’s treatment or healthcare operation. This includes scenarios such as research, marketing, or other non-essential activities. The Delaware Authorization to Use or Disclose Protected Health Information provides a framework for this process. Thus, obtaining the patient's clear consent is vital.

Unauthorized access, use, and disclosure of protected health information occurs when someone accesses or shares this sensitive data without permission. This includes sharing PHI without a valid Delaware Authorization to Use or Disclose Protected Health Information. Such actions can lead to severe legal consequences and damage to trust. It's crucial to safeguard PHI at all times.

Health information such as diagnoses, treatment information, medical test results, and prescription information are considered protected health information under HIPAA, as are national identification numbers and demographic information such as birth dates, gender, ethnicity, and contact and emergency contact

A violation is an unauthorized disclosure that results in the conclusion there is a low probability of compromise to the PHI. If this low risk is determined and supported by the Risk Assessment, reporting the incident to the OCR and the involved patient is deemed to be unnecessary.

We may disclose your PHI for the following government functions: (1) Military and veterans activities, including information relating to armed forces personnel for the execution of military missions, separation or discharge from military services, veterans benefits, and foreign military personnel; (2) National security

In general, a covered entity may only use or disclose PHI if either: (1) the HIPAA Privacy Rule specifically permits or requires it; or (2) the individual who is the subject of the information gives authorization in writing.

A breach is, generally, an impermissible use or disclosure under the Privacy Rule that compromises the security or privacy of the protected health information.

Covered entities may disclose protected health information that they believe is necessary to prevent or lessen a serious and imminent threat to a person or the public, when such disclosure is made to someone they believe can prevent or lessen the threat (including the target of the threat).

You may disclose the PHI as long as you receive a request in writing. The written request must contain: the covered entity's name, the patient's name, the date of the event/time of treatment, and the reason for the request.

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Delaware Authorization to Use or Disclose Protected Health Information