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New York Autorización de Uso y/o Divulgación de Información de Salud Protegida - Authorization for Use and / or Disclosure of Protected Health Information

State:
Multi-State
Control #:
US-178EM
Format:
Word
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Description

Este formulario permite que un empleado autorice los tipos de información médica que debe divulgar el departamento de recursos humanos. The New York Authorization for Use and/or Disclosure of Protected Health Information is an essential document that ensures the privacy and security of personal health information in accordance with state and federal laws. This document grants individuals the right to authorize the use or disclosure of their protected health information (PHI) for various purposes in accordance with their preferences. In New York, there exist different types of authorizations for use and/or disclosure of protected health information to cater to specific scenarios and circumstances: 1. General Authorization: This is the most common type of authorization that allows individuals to provide consent for the use or disclosure of their PHI for general purposes, such as treatment, payment, and healthcare operations. It authorizes healthcare providers to share PHI with other parties involved in the individual's healthcare journey, ensuring coordination and continuity of care. 2. Research Authorization: This specific type of authorization is required when an individual's PHI is required for research purposes. It outlines the details of the research project, including how the information will be used, who will have access to it, and the measures taken to protect confidentiality. Research authorizations are crucial for carrying out medical studies and advancing healthcare knowledge. 3. Mental Health and Substance Abuse Authorization: Under New York's strict privacy laws, additional protection is granted to individuals seeking mental health or substance abuse treatment. This specialized authorization ensures that PHI related to mental health or substance abuse treatment is handled with utmost sensitivity and confidentiality. It allows for the disclosure of information only to authorized parties involved in the individual's treatment or as required by specific legal provisions. 4. Sensitive Medical Information Authorization: This type of authorization is necessary for the disclosure of sensitive medical information, such as HIV/AIDS status, sexually transmitted infections, genetic testing results, or mental health records. It provides individuals with control over the release of such highly personal information and restricts its use to specific purposes outlined in the authorization. It is important to note that regardless of the type of authorization, New York law imposes strict guidelines and safeguards to protect the privacy and security of PHI. Healthcare providers and other entities must obtain a valid and signed authorization before using or disclosing an individual's health information, ensuring that the individual's rights are always upheld. The New York Authorization for Use and/or Disclosure of Protected Health Information serves as a crucial tool in maintaining patient privacy and promoting trust in the healthcare system.

The New York Authorization for Use and/or Disclosure of Protected Health Information is an essential document that ensures the privacy and security of personal health information in accordance with state and federal laws. This document grants individuals the right to authorize the use or disclosure of their protected health information (PHI) for various purposes in accordance with their preferences. In New York, there exist different types of authorizations for use and/or disclosure of protected health information to cater to specific scenarios and circumstances: 1. General Authorization: This is the most common type of authorization that allows individuals to provide consent for the use or disclosure of their PHI for general purposes, such as treatment, payment, and healthcare operations. It authorizes healthcare providers to share PHI with other parties involved in the individual's healthcare journey, ensuring coordination and continuity of care. 2. Research Authorization: This specific type of authorization is required when an individual's PHI is required for research purposes. It outlines the details of the research project, including how the information will be used, who will have access to it, and the measures taken to protect confidentiality. Research authorizations are crucial for carrying out medical studies and advancing healthcare knowledge. 3. Mental Health and Substance Abuse Authorization: Under New York's strict privacy laws, additional protection is granted to individuals seeking mental health or substance abuse treatment. This specialized authorization ensures that PHI related to mental health or substance abuse treatment is handled with utmost sensitivity and confidentiality. It allows for the disclosure of information only to authorized parties involved in the individual's treatment or as required by specific legal provisions. 4. Sensitive Medical Information Authorization: This type of authorization is necessary for the disclosure of sensitive medical information, such as HIV/AIDS status, sexually transmitted infections, genetic testing results, or mental health records. It provides individuals with control over the release of such highly personal information and restricts its use to specific purposes outlined in the authorization. It is important to note that regardless of the type of authorization, New York law imposes strict guidelines and safeguards to protect the privacy and security of PHI. Healthcare providers and other entities must obtain a valid and signed authorization before using or disclosing an individual's health information, ensuring that the individual's rights are always upheld. The New York Authorization for Use and/or Disclosure of Protected Health Information serves as a crucial tool in maintaining patient privacy and promoting trust in the healthcare system.

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.
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New York Autorización de Uso y/o Divulgación de Información de Salud Protegida