New Mexico Authorization to Release Confidential Records

State:
Multi-State
Control #:
US-PI-0312
Format:
Word; 
Rich Text
Instant download

Description

This form authorizes the release of plaintiff's confidential medical records to plaintiff's attorney.

How to fill out Authorization To Release Confidential Records?

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FAQ

The Privacy Rule applies to all forms of individuals' protected health information, whether electronic, written, or oral. The Security Rule is a Federal law that requires security for health information in electronic form.

In ance with HIPAA regulations, you may request copies of your medical records for personal use. Contact our medical records office at 505-925-0106 for more information.

The Inspection of Public Records Act (IPRA), NMSA 1978, §14-2-1 to ? 12, is a New Mexico state law that provides the public access to public records. The law requires open access to almost all public records in state and local government, with a few exceptions.

An Electronic Health Record (EHR) is an electronic version of a patients medical history, that is maintained by the provider over time, and may include all of the key administrative clinical data relevant to that persons care under a particular provider, including demographics, progress notes, problems, medications, ...

Procedures for Requesting Inspection: Requests to inspect public records should be submitted to the records custodian, by email to sos.elections@state.nm.us, or by regular mail to New Mexico Capitol Annex North, 325 Don Gaspar, Suite 300, Santa Fe, NM 87501.

A provider, health care institution, health information exchange or health care group purchaser shall not use or disclose health care information in an individual's electronic medical record to another person without the consent of the individual except as allowed by state or federal law.

A provider, health care institution, health information exchange or health care group purchaser shall not use or disclose health care information in an individual's electronic medical record to another person without the consent of the individual except as allowed by state or federal law.

compliant HIPAA release form must, at the very least, contain the following information: A description of the information that will be used/disclosed. The purpose for which the information will be disclosed. The name of the person or entity to whom the information will be disclosed.

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New Mexico Authorization to Release Confidential Records