Wake North Carolina Revocation of Authorization to Use or Disclose Protected Health Information is a legal document that enables individuals to revoke their previously granted consent for the use or disclosure of their protected health information (PHI) in Wake, North Carolina. This revocation allows individuals to regain control over their personal health information and restrict its further usage or disclosure. This type of revocation is crucial for patients who may have initially granted authorization for their healthcare providers or organizations to share their PHI with third parties such as insurance companies, researchers, or other healthcare providers. By submitting a Wake North Carolina Revocation of Authorization, individuals can withdraw their consent at any time and prevent the further use or disclosure of their PHI by authorized parties. The Wake North Carolina Revocation of Authorization provides a comprehensive and legally binding mechanism to safeguard patients' rights to privacy and control over their personal health information. It is designed to comply with the Health Insurance Portability and Accountability Act (HIPAA) and other relevant state regulations. The document ensures that healthcare providers and organizations respect their patients' decisions and honor their right to revoke authorization. There are different types of Wake North Carolina Revocation of Authorization to Use or Disclose Protected Health Information, each with specific applications: 1. Wake North Carolina Individual Patient Revocation: This is the most common type and is used by individual patients who wish to revoke their consent for the use or disclosure of their PHI. 2. Wake North Carolina Parental Revocation: This type of revocation is used by parents or legal guardians to withdraw authorization for the use or disclosure of their child's PHI. It allows parents to regain control over their child's health information and ensure its privacy. 3. Wake North Carolina Authorized Representative Revocation: This type of revocation is applicable when an individual has initially authorized a representative, such as a family member or attorney, to act on their behalf regarding the use or disclosure of their PHI. This revocation allows the individual to revoke the representative's authority and take back control over their health information. These different types of revocations cater to specific scenarios and ensure that individuals of various circumstances have the means to protect their privacy and make informed decisions about the use and disclosure of their PHI in Wake, North Carolina.
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.