Oregon Authorization for Use and Disclosure of Information

• Category: Oregon Consents and Permissions - Medical
• State: Oregon
• Control #: OR-00426
• Format: Word; Rich Text

Description

This form is an authorization to release information held by an individual, a school, employer, agency or medical provider. The authorization granted with this release can be cancelled at any time. The information be re-disclosed to the Department of Human Services or the Oregon Helath Authority. Oregon Authorization for Use and Disclosure of Information is a form used in the state of Oregon that allows individuals to authorize the release of their personal health information to specified third parties. This includes health care providers, health plans, and other organizations that are involved in the treatment, payment, and operations of their health care. The form is designed to protect individuals’ privacy and provide the necessary information to ensure the accuracy and protection of their health information. There are two types of Oregon Authorization for Use and Disclosure of Information forms, including a general form and a specific form. The general form is used to provide authorization for the release of information related to the individual’s diagnosis, treatment, and health care services. The specific form is used to authorize the release of specific health information, such as laboratory test results, medical records, mental health information, and other more specific types of information. Both forms require the individual’s signature and the signature of the health care provider or other authorized person.

Oregon Authorization for Use and Disclosure of Information is a form used in the state of Oregon that allows individuals to authorize the release of their personal health information to specified third parties. This includes health care providers, health plans, and other organizations that are involved in the treatment, payment, and operations of their health care. The form is designed to protect individuals’ privacy and provide the necessary information to ensure the accuracy and protection of their health information. There are two types of Oregon Authorization for Use and Disclosure of Information forms, including a general form and a specific form. The general form is used to provide authorization for the release of information related to the individual’s diagnosis, treatment, and health care services. The specific form is used to authorize the release of specific health information, such as laboratory test results, medical records, mental health information, and other more specific types of information. Both forms require the individual’s signature and the signature of the health care provider or other authorized person.