• US Legal Forms

North Carolina Authorization for Release of Medical Information for Criminal Cases

State:
North Carolina
Control #:
NC-00426
Format:
Word; 
Rich Text
Instant download
Free preview
  • Preview Authorization for Release of Medical Information for Criminal Cases
  • Preview Authorization for Release of Medical Information for Criminal Cases

Form popularity

FAQ

Include signature, printed name, date, and records desired. Release a copy only, not the original. The physician may prepare a summary of the medical record, if acceptable to the patient.

In general, under the provisions of the FOIA and Privacy Act, access to information about private individuals cannot be given to unauthorized third parties without the individual's written consent. If you provide authorization, your request will be processed with the greatest possible access.

In North Carolina you have the right to: See and get a copy of your medical record. you a copy of it within 30 days after they receive your request. In most cases, your health care provider is allowed to charge you a reasonable, cost-based fee for copying your record.

The physician may photocopy and send all records, or may send a summary. The patient must sign an authorization to release records.

The Health Insurance Portability and Accountability Act of 1996 was put in place to help ensure privacy and yet ease of access to your medical records. A HIPAA Authorization Form is a document that allows a medical provider to share specific health information with another person or group.

The law generally bars health care professionals from sharing a patient's medical records without receiving written permission from the patient. When you start seeing a new medical provider, the provider will ask you to sign a release form that grants permission for certain staff members to access your record.

The custodian must determine whether to release the record, what portions of the record should be released, and whether the record is admissible as evidence. However, the custodian of an EHR has several additional concerns when an EHR is involved in litigation.

Trusted and secure by over 3 million people of the world’s leading companies

North Carolina Authorization for Release of Medical Information for Criminal Cases