Nassau New York Hippo Release Form for Minor Child is a legal document that authorizes the disclosure of a minor child's protected health information (PHI) under the Health Insurance Portability and Accountability Act (HIPAA) regulations. This form is essential for parents or legal guardians who want to grant permission to disclose their child's medical information in specific situations. In Nassau County, New York, there are several types of HIPAA Release Forms for Minor Children, each serving a unique purpose. These forms include: 1. General Medical Treatment Release Form: This type of form allows a minor child's healthcare providers to share their medical records with other healthcare professionals involved in their treatment. It may be required when transferring a child's care to a different facility or when seeking specialized medical consultations. 2. School Health Authorization Form: This specific release form is tailored for parents/guardians who wish to authorize the school or educational institution to have access to their child's medical information. It ensures that school staff can provide necessary care, administer medication, or handle emergencies appropriately. 3. Emergency Medical Consent Form: In situations where parents cannot be present for their child's medical care due to unforeseen circumstances or emergencies, an emergency medical consent form allows designated individuals (e.g., grandparents, relatives, or family friends) to approve and make informed medical decisions on behalf of the child. 4. Consent for Specific Procedures: Some medical procedures or treatments require additional consent beyond general medical care. This form grants permission for specific procedures, such as surgery, dental work, vaccinations, or participation in clinical trials. It ensures that healthcare providers have valid consent before proceeding with any interventions. 5. Mental Health Release Form: When seeking mental health treatment for a minor child, this form allows the disclosure of their mental health records to designated healthcare professionals. It enables collaboration between healthcare providers to ensure comprehensive care for the child's mental well-being. It is important to note that these forms may have variations in format and content, depending on the specific healthcare provider or institution requiring the release. However, the underlying purpose remains the same — to legally permit the exchange of a minor child's health information while adhering to HIPAA regulations and maintaining privacy and confidentiality. Parents or guardians must carefully review and complete the appropriate form, ensuring it accurately reflects their intentions and protects their child's rights.
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.