Patient authorizes the physicians, medical attendants, and the hospital to furnish full and complete medical information to the specified attorney at law, or to any representative or investigator from his/her firm. The form also provides that all prior authorization is cancelled.
The Colorado Authority for Release of Medical Information is a legal document that authorizes the release or disclosure of an individual's medical information in the state of Colorado. It grants permission to healthcare providers, insurers, or any other authorized individuals to access and share a patient's medical records for various purposes. The authority for release of medical information can be categorized into two main types: general release and specific release. 1. General Release: This type of authority enables the broad release of medical information for general purposes. It gives healthcare providers the authority to disclose medical records to other healthcare professionals involved in the patient's care, insurance companies, government agencies, or other authorized personnel as required by law. It may also allow the release of medical information for research or statistical purposes, with appropriate privacy safeguards. 2. Specific Release: A specific release of medical information grants permission for the disclosure of medical records to a specified person or entity for a specific purpose. For example, a patient may authorize the release of their medical information to their lawyer for legal proceedings, to an employer for occupational health purposes, or to a family member for caregiving or decision-making purposes. The Colorado Authority for Release of Medical Information is governed by specific legal requirements, such as the federal Health Insurance Portability and Accountability Act (HIPAA), the Colorado Revised Statutes, and other relevant privacy laws. These laws aim to protect the privacy and confidentiality of patients' medical records while allowing authorized parties access to the information necessary for their roles. To obtain the Colorado Authority for Release of Medical Information, an individual must complete a specific form provided by their healthcare provider or another authorized entity. The form typically requires the individual's consent, identifying information, the purpose of the release, the duration of the authorization, and any restrictions or limitations on the information to be released. It is important to note that the authority for release of medical information in Colorado is subject to certain limitations and exceptions. For example, sensitive information related to mental health, HIV/AIDS, substance abuse treatment, and genetic testing may have additional protections and restrictions on their release. In summary, the Colorado Authority for Release of Medical Information is a legally binding document that allows the release of medical records in the state of Colorado. It can be categorized into general release, which grants broad access for general purposes, and specific release, which authorizes the disclosure of medical records to specified individuals or entities. The authority is subject to legal requirements and safeguards to protect patients' privacy and confidentiality.
The Colorado Authority for Release of Medical Information is a legal document that authorizes the release or disclosure of an individual's medical information in the state of Colorado. It grants permission to healthcare providers, insurers, or any other authorized individuals to access and share a patient's medical records for various purposes. The authority for release of medical information can be categorized into two main types: general release and specific release. 1. General Release: This type of authority enables the broad release of medical information for general purposes. It gives healthcare providers the authority to disclose medical records to other healthcare professionals involved in the patient's care, insurance companies, government agencies, or other authorized personnel as required by law. It may also allow the release of medical information for research or statistical purposes, with appropriate privacy safeguards. 2. Specific Release: A specific release of medical information grants permission for the disclosure of medical records to a specified person or entity for a specific purpose. For example, a patient may authorize the release of their medical information to their lawyer for legal proceedings, to an employer for occupational health purposes, or to a family member for caregiving or decision-making purposes. The Colorado Authority for Release of Medical Information is governed by specific legal requirements, such as the federal Health Insurance Portability and Accountability Act (HIPAA), the Colorado Revised Statutes, and other relevant privacy laws. These laws aim to protect the privacy and confidentiality of patients' medical records while allowing authorized parties access to the information necessary for their roles. To obtain the Colorado Authority for Release of Medical Information, an individual must complete a specific form provided by their healthcare provider or another authorized entity. The form typically requires the individual's consent, identifying information, the purpose of the release, the duration of the authorization, and any restrictions or limitations on the information to be released. It is important to note that the authority for release of medical information in Colorado is subject to certain limitations and exceptions. For example, sensitive information related to mental health, HIV/AIDS, substance abuse treatment, and genetic testing may have additional protections and restrictions on their release. In summary, the Colorado Authority for Release of Medical Information is a legally binding document that allows the release of medical records in the state of Colorado. It can be categorized into general release, which grants broad access for general purposes, and specific release, which authorizes the disclosure of medical records to specified individuals or entities. The authority is subject to legal requirements and safeguards to protect patients' privacy and confidentiality.
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés.
For your convenience, the complete English version of this form is attached below the Spanish version.