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

• Category: Empleo: políticas y procedimientos
• State: Multi-State
• County: Wake
• Control #: US-178EM
• Format: Word

Description

Este formulario permite que un empleado autorice los tipos de información médica que debe divulgar el departamento de recursos humanos. Wake North Carolina Authorization for Use and/or Disclosure of Protected Health Information is a legal document that grants permission for individuals' protected health information (PHI) to be shared or used by healthcare providers in Wake, North Carolina. This authorization ensures compliance with the Health Insurance Portability and Accountability Act (HIPAA) regulations, which safeguard the privacy and security of patients' PHI. In Wake, North Carolina, there are several types of Authorization for Use and/or Disclosure of Protected Health Information: 1. General Use and Disclosure: This authorization allows healthcare providers to use or disclose an individual's PHI for general purposes, such as treatment, payment, and healthcare operations. It permits the sharing of PHI within a healthcare provider's network or with external entities involved in providing healthcare services. 2. Research Use and Disclosure: This specific authorization is used when PHI is required for research purposes. It enables healthcare providers or researchers to access and examine patients' PHI to conduct approved medical studies or clinical trials. All researchers involved must comply with strict standards to ensure patient privacy is maintained. 3. Psychotherapy Notes Use and Disclosure: When individuals receive counseling or therapy services, any notes taken by the therapist regarding their sessions are considered psychotherapy notes. This separate authorization is required for the use and disclosure of these notes, as they contain sensitive and personal information. 4. Marketing Use and Disclosure: If healthcare providers wish to use an individual's PHI for marketing purposes, such as sending promotional or educational materials, a specific authorization is needed. This authorization ensures that patients have control over marketing communications they receive from healthcare organizations. 5. Sensitive Information Use and Disclosure: In certain cases, individuals may request additional protection for highly sensitive information, such as HIV/AIDS status, mental health records, or substance abuse treatment records. A separate authorization is required to disclose such sensitive information. When completing a Wake North Carolina Authorization for Use and/or Disclosure of Protected Health Information form, individuals should carefully read and understand the terms outlined. The document will typically include information about the duration of the authorization, the specific purpose for which the PHI will be used or disclosed, and any restrictions or conditions associated with the authorization. It is essential for individuals to have a clear understanding of the rights granted and the potential consequences of authorizing the use and disclosure of their PHI. Healthcare providers in Wake, North Carolina, must obtain written authorization before sharing or using a patient's PHI beyond what is permitted by law.

Wake North Carolina Authorization for Use and/or Disclosure of Protected Health Information is a legal document that grants permission for individuals' protected health information (PHI) to be shared or used by healthcare providers in Wake, North Carolina. This authorization ensures compliance with the Health Insurance Portability and Accountability Act (HIPAA) regulations, which safeguard the privacy and security of patients' PHI. In Wake, North Carolina, there are several types of Authorization for Use and/or Disclosure of Protected Health Information: 1. General Use and Disclosure: This authorization allows healthcare providers to use or disclose an individual's PHI for general purposes, such as treatment, payment, and healthcare operations. It permits the sharing of PHI within a healthcare provider's network or with external entities involved in providing healthcare services. 2. Research Use and Disclosure: This specific authorization is used when PHI is required for research purposes. It enables healthcare providers or researchers to access and examine patients' PHI to conduct approved medical studies or clinical trials. All researchers involved must comply with strict standards to ensure patient privacy is maintained. 3. Psychotherapy Notes Use and Disclosure: When individuals receive counseling or therapy services, any notes taken by the therapist regarding their sessions are considered psychotherapy notes. This separate authorization is required for the use and disclosure of these notes, as they contain sensitive and personal information. 4. Marketing Use and Disclosure: If healthcare providers wish to use an individual's PHI for marketing purposes, such as sending promotional or educational materials, a specific authorization is needed. This authorization ensures that patients have control over marketing communications they receive from healthcare organizations. 5. Sensitive Information Use and Disclosure: In certain cases, individuals may request additional protection for highly sensitive information, such as HIV/AIDS status, mental health records, or substance abuse treatment records. A separate authorization is required to disclose such sensitive information. When completing a Wake North Carolina Authorization for Use and/or Disclosure of Protected Health Information form, individuals should carefully read and understand the terms outlined. The document will typically include information about the duration of the authorization, the specific purpose for which the PHI will be used or disclosed, and any restrictions or conditions associated with the authorization. It is essential for individuals to have a clear understanding of the rights granted and the potential consequences of authorizing the use and disclosure of their PHI. Healthcare providers in Wake, North Carolina, must obtain written authorization before sharing or using a patient's PHI beyond what is permitted by law.

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.