This form authorizes the release of plaintiff's confidential medical records to plaintiff's attorney.
Maryland Authorization to Release Confidential Records
State:
Multi-State
Control #:
US-PI-0312
Format:
Word;
Rich Text
Instant download
Description
How to fill out Authorization To Release Confidential Records?
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FAQ
To that end, Rule 4-266 permits a party for good cause shown to move to quash a subpoena when justice requires protecting the requires protecting the person subpoenaed from from "annoyance, embarrassment, oppression, or undue burden or expense." Rule 4-266(c).
A subpoena may be served by a sheriff of any county or by any person who is not a party and who is not less than 18 years of age. Unless impracticable, a party shall make a good faith effort to cause a trial or hearing subpoena to be served at least five days before the trial or hearing.
Provisions § 4-306. A custodian shall deny inspection of a hospital record that: (1) relates to: (i) medical administration; (ii) staff; (iii) medical care; or (iv) other medical information; and (2) contains general or specific information about one or more individuals.
§4?304. Copies of records; changes in records (2) A person in interest may not have any information deleted from a medical record. (ii) Provide written notice of a refusal to make the change to the person in interest. (ii) The procedures, if any, that the health care provider has established for review of the refusal.
§ 4-301. Definitions -- "Disclose" or "disclosure" means the transmission or communication of information in a medical record, including an acknowledgment that a medical record on a particular patient or recipient exists.
Code, Health-Gen. § 4-302. Section 4-302 - Confidentiality and disclosure generally (a) A health care provider shall: (1) Keep the medical record of a patient or recipient confidential; and (2) Disclose the medical record only: (i) As provided by this subtitle; or (ii) As otherwise provided by law.
Code, Health-Gen. § 4-302. Section 4-302 - Confidentiality and disclosure generally (a) A health care provider shall: (1) Keep the medical record of a patient or recipient confidential; and (2) Disclose the medical record only: (i) As provided by this subtitle; or (ii) As otherwise provided by law.
This form should include specific details such as the person or organization being authorized, the person or organization being sent the information, the nature of the information being shared, the reason for the disclosure of information, and important statements that the patient needs to understand before they sign.
