North Carolina Request for Accounting of Disclosures of Protected Health Information

State:
Multi-State
Control #:
US-3581
Format:
Word; 
Rich Text
Instant download

Description

This form is used by an individual to request an accounting of the persons or entities to whom the individual's protected health information has been disclosed. Permitted exclusions from the accounting are also described.
Free preview
  • Preview Request for Accounting of Disclosures of Protected Health Information
  • Preview Request for Accounting of Disclosures of Protected Health Information

How to fill out Request For Accounting Of Disclosures Of Protected Health Information?

If you need to thoroughly, download, or print legal document templates, utilize US Legal Forms, the largest collection of legal forms available online.

Utilize the site’s simple and user-friendly search feature to locate the documents you require.

A variety of templates for business and personal purposes are organized by categories and states, or keywords.

Step 4. Once you have found the form you need, click the Buy now button. Choose the pricing plan you prefer and enter your details to register for an account.

Step 5. Process the transaction. You can utilize your Visa or MasterCard or PayPal account to complete the transaction.

  1. Utilize US Legal Forms to find the North Carolina Request for Accounting of Disclosures of Protected Health Information with just a few clicks.
  2. If you are already a US Legal Forms user, Log In to your account and then click the Download button to obtain the North Carolina Request for Accounting of Disclosures of Protected Health Information.
  3. You can also access the forms you previously obtained from the My documents tab within your account.
  4. If you are using US Legal Forms for the first time, follow the instructions below.
  5. Step 1. Ensure you have selected the form for the correct city/state.
  6. Step 2. Use the Preview option to review the form’s content. Don’t forget to check the summary.
  7. Step 3. If you are dissatisfied with the form, use the Search field at the top of the screen to find other variations of your legal form template.

Form popularity

FAQ

Information must be provided to the data subject during a HIPAA disclosure accounting upon their request, ideally within 30 days. The accounting should cover disclosures that occurred over the past six years, ensuring transparency regarding how their protected health information was managed. Utilizing the North Carolina Request for Accounting of Disclosures of Protected Health Information can help streamline this process.

Other instances necessitating Accounting of Disclosures (AOD) include: Those Required by Law (Court Orders, subpoenas, state reporting, emergencies) Public Health Activities (Prevention of disease, public health investigations) Victims of abuse, neglect, or domestic violence.

When releases occur that are pursuant to Accounting of Disclosures, the log must include certain elements like: the date of the disclosure; the name and address of the organization / person who received the PHI; a brief description of the PHI disclosed; and.

More generally, HIPAA allows the release of information without the patient's authorization when, in the medical care providers' best judgment, it is in the patient's interest. Despite this language, medical care providers are very reluctant to release information unless it is clearly allowed by HIPAA.

For each disclosure, the accounting must include: (1) The date of the disclosure; (2) the name (and address, if known) of the entity or person who received the protected health information; (3) a brief description of the information disclosed; and (4) a brief statement of the purpose of the disclosure (or a copy of the

A covered entity must obtain the individual's written authorization for any use or disclosure of protected health information that is not for treatment, payment or health care operations or otherwise permitted or required by the Privacy Rule.

Patients (or their Personal Representatives see Yale Policy 5038 - Personal Representatives) may request an accounting of disclosures by submitting a request in writing using the Request for Accounting of Disclosures of Protected Health Information form, or other sufficient written documentation requesting the

We may disclose your PHI as authorized to comply with workers' compensation laws and other similar programs. Threats to Health or Safety. We may disclose limited PHI if we believe it is necessary to prevent or lessen a serious and imminent threat to you or to the public.

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).

Under the HIPAA Privacy Rule, an individual, under certain circumstances, has the right to receive an accounting of disclosures HIPAA Accounting of that individual's protected health information (PHI) made by a covered entity in the last six years prior to the date on which the account is requested.

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

North Carolina Request for Accounting of Disclosures of Protected Health Information