Minnesota Blood Test Consent and Release Form

State:
Multi-State
Control #:
US-0519BG
Format:
Word; 
Rich Text
Instant download

Description

This is a sample consent and release form for a blood test.

How to fill out Blood Test Consent And Release Form?

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FAQ

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.

In Minnesota as with most other states, the general rule is that a parent must be informed about and give consent for medical treatment for her child. A minor (whether sexually assaulted or not) may obtain a medical examination to diagnose or treat these conditions.

Informed Consent Law covers the legal aspect regarding an individual's right to be informed of and consent to a procedure or treatment suggested by a physician or professional. This written authorization can limit professional liability issues for the individual providing the service.

This form is used to release your protected health information as required by federal and state privacy laws. Your authorization allows the Health Plan (your health insurance carrier or HMO) to release your protected health information to a person or organization that you choose.

In Minnesota, the age of consent is 16 years old. This means that if a person has consensual sexual intercourse with an individual under age 16, he or she may be prosecuted for statutory rape. However, if the offender is an authority figure, the age of consent is raised to 18.

State facts:37 states have informed consent laws on the books. But 8 of these leave the content of information up to the judgement of a medical provider. 29 states mandate that state-authored materials be given to women. 2 of these states have laws enjoined (Massachusetts and Montana)

Minnesota Rules 1205.1400, subpart 3, requires that individuals giving informed consent have sufficient mental capacity to understand the consequences of their decision to give consent. Minnesota Rules 1205.1400, subpart 4, requires that a valid informed consent must: Be voluntary and not coerced. Be in writing.

1 allows youth who are 16 years of age or older to consent for inpatient mental health services. Confidentiality protections allow adolescents and young adults to seek the health care they need and protect their privacy for these services.

A HIPAA authorization is consent obtained from an individual that permits a covered entity or business associate to use or disclose that individual's protected health information to someone else for a purpose that would otherwise not be permitted by the HIPAA Privacy Rule.

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Minnesota Blood Test Consent and Release Form