Delaware Authorization for Disclosure of Medical Information to Law Firm

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Multi-State
Control #:
US-AG05
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Word; 
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Description

This form is for use and/or disclosure of the specific personally identifiable health information identified in form pursuant to the requirements of 45 C.F.R. Sect 164.508, which sets out the federal privacy regulations for the Health Insurance Portability and Accountability Act of 1996 and authorizes the Covered Entity identified in the form to release the personally identifiable health information specifically referenced in th form.

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FAQ

18, §§ 2, 4; § 2502. Right of self-determination. An individual, legally adult, who is mentally competent, has the right to refuse medical or surgical treatment if such refusal is not contrary to existing public health laws.

(1) Every patient shall have the right to receive considerate, respectful and appropriate care, treatment and services in compliance with relevant federal and state law and regulations, recognizing each person's basic personal and property rights, which include dignity and individuality.

If a minor is 14 years of age or over, then either the minor, or a parent, legal custodian, or legal guardian may give written consent to a licensed treatment facility or community provider for voluntary, outpatient treatment.

§ 701. Rights and responsibilities of parents; guardian appointment. (a) The father and mother are the joint natural guardians of their minor child and are equally charged with the child's support, care, nurture, welfare and education.

When a cause of action arises from a promissory note, bill of exchange, or an acknowledgment under the hand of the party of a subsisting demand, the action may be commenced at any time within 6 years from the accruing of such cause of action. Code 1852, § 2744; Code 1915, § 4673; Code 1935, § 5131; 10 Del. C.

Overview. A Privacy Rule Authorization is an individual's signed permission to allow a covered entity to use or disclose the individual's protected health information (PHI) that is described in the Authorization for the purpose(s) and to the recipient(s) stated in the Authorization.

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Delaware Authorization for Disclosure of Medical Information to Law Firm