The Kings New York Hippo Release Form for Mental Health is a crucial document that complies with the Health Insurance Portability and Accountability Act (HIPAA) regulations. This form allows individuals to authorize the disclosure of their mental health information to specified parties while ensuring their privacy and confidentiality rights are protected. The Kings New York Hippo Release Form for Mental Health is designed to grant consent for the release of mental health records, including treatment history, progress notes, and evaluations, to authorized individuals or organizations involved in the individual's care. It ensures that mental health professionals can share information necessary for effective treatment, collaboration, and coordination among healthcare providers. There are different types of Kings New York Hippo Release Forms for Mental Health that cater to specific purposes. These may include: 1. General Mental Health Release Form: This form allows the individual to authorize the release of their mental health records to any involved party, such as healthcare providers, family members, or designated individuals involved in their care. It grants broad consent for sharing relevant information. 2. Emergency Mental Health Release Form: This specialized form grants authorization for the release of mental health information in emergency situations where immediate access to mental health records is necessary for the individual's safety or well-being. It enables healthcare providers to swiftly obtain essential information during crisis situations. 3. Specific Provider Release Form: This form grants authorization for the release of mental health records to specific healthcare providers or organizations involved in the individual's treatment. It allows the individual to specify the entities authorized to access their mental health information, ensuring a more targeted and selective sharing of records. 4. Limited Timeframe Release Form: This release form permits the disclosure of mental health information for a specific period, such as during a particular treatment process or a certain duration of ongoing care. It ensures that the authorization for the release of records is time-limited and restricts access to mental health information beyond the defined timeframe. By using the Kings New York Hippo Release Form for Mental Health, individuals can ensure that their mental health information is shared appropriately, in line with HIPAA regulations. This document aims to balance the need for information exchange with maintaining the individual's privacy, confidentiality, and right to control their personal health information.
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.