This form is used by an individual to request an accounting of the persons or entities to whom the individual's protected health information has been disclosed. Permitted exclusions from the accounting are also described.
Suffolk, New York is a county located on Long Island, within the state of New York. It is known for its beautiful coastal landscapes, vibrant communities, and rich cultural heritage. With a population of over 1.5 million residents, Suffolk County is one of the most populous counties in the state. When it comes to healthcare, protecting patient privacy and ensuring the confidentiality of medical records is crucial. Individuals in Suffolk, New York can request an Accounting of Disclosures of Protected Health Information (PHI) as outlined by the Health Insurance Portability and Accountability Act (HIPAA). This accounting provides a detailed record of who has accessed or received their PHI without their explicit consent. The Suffolk New York Request for Accounting of Disclosures of Protected Health Information allows individuals to gain insight into how their medical information has been shared, allowing them to maintain control over their privacy. It is important to note that this request specifically applies to disclosures made for purposes other than treatment, payment, or healthcare operations. There are a few different types of Suffolk New York Request for Accounting of Disclosures of Protected Health Information: 1. Standard Accounting of Disclosures: This type of request provides a record of any disclosures made for purposes other than treatment, payment, or healthcare operations during a specified time frame, generally up to six years prior to the request. 2. Confidential Communication Accounting: Individuals with specific privacy concerns, such as victims of domestic violence or those at risk of harm, can request an accounting that includes only specific types of disclosures or disclosures made by specific individuals or entities. 3. Customized Accounting of Disclosures: In some cases, individuals may require a more tailored approach to their accounting request. This could involve specifying a certain date range, type of disclosure, or entities involved. Customized accounting provide a more detailed and specific overview of the disclosed PHI. Overall, the Suffolk New York Request for Accounting of Disclosures of Protected Health Information empowers individuals to understand how their PHI has been shared and with whom, ensuring their privacy rights are respected. By submitting this request, individuals can gain peace of mind knowing that their medical information is handled in accordance with HIPAA regulations.
Suffolk, New York is a county located on Long Island, within the state of New York. It is known for its beautiful coastal landscapes, vibrant communities, and rich cultural heritage. With a population of over 1.5 million residents, Suffolk County is one of the most populous counties in the state. When it comes to healthcare, protecting patient privacy and ensuring the confidentiality of medical records is crucial. Individuals in Suffolk, New York can request an Accounting of Disclosures of Protected Health Information (PHI) as outlined by the Health Insurance Portability and Accountability Act (HIPAA). This accounting provides a detailed record of who has accessed or received their PHI without their explicit consent. The Suffolk New York Request for Accounting of Disclosures of Protected Health Information allows individuals to gain insight into how their medical information has been shared, allowing them to maintain control over their privacy. It is important to note that this request specifically applies to disclosures made for purposes other than treatment, payment, or healthcare operations. There are a few different types of Suffolk New York Request for Accounting of Disclosures of Protected Health Information: 1. Standard Accounting of Disclosures: This type of request provides a record of any disclosures made for purposes other than treatment, payment, or healthcare operations during a specified time frame, generally up to six years prior to the request. 2. Confidential Communication Accounting: Individuals with specific privacy concerns, such as victims of domestic violence or those at risk of harm, can request an accounting that includes only specific types of disclosures or disclosures made by specific individuals or entities. 3. Customized Accounting of Disclosures: In some cases, individuals may require a more tailored approach to their accounting request. This could involve specifying a certain date range, type of disclosure, or entities involved. Customized accounting provide a more detailed and specific overview of the disclosed PHI. Overall, the Suffolk New York Request for Accounting of Disclosures of Protected Health Information empowers individuals to understand how their PHI has been shared and with whom, ensuring their privacy rights are respected. By submitting this request, individuals can gain peace of mind knowing that their medical information is handled in accordance with HIPAA regulations.
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.