Get Release Of Medical Records Form

FormDr gives your business everything needed to easily send and receive HIPAA compliant forms online. Send patients your forms to fill out on their phone, tablet, or computer. Patients easily sign and submit completed forms securely online.

The Health Insurance Portability and Accountability Act of 1996 was put in place to help ensure privacy and yet ease of access to your medical records. A HIPAA Authorization Form is a document that allows a medical provider to share specific health information with another person or group.

The core elements of a valid authorization include: A meaningful description of the information to be disclosed. The name of the individual or the name of the person authorized to make the requested disclosure. The name or other identification of the recipient of the information.

Isn't that against HIPAA? Sending PHI via unencrypted email does not violate HIPAA, but Covered Entities and Business Associates must take reasonable steps to ensure the patient understands and acknowledges the risk of unsecured email transmission.

A HIPAA authorization form, also known as a HIPAA release form, is a document that individual signs for their health provider before the entity may use or disclose their protected health information (PHI).

I hereby authorize use or disclosure of protected health information about me as described below. I understand that the information used or disclosed may be subject to re-disclosure by the person or class of persons or facility receiving it, and would then no longer be protected by federal privacy regulations.

A HIPAA-compliant HIPAA release form must, at the very least, contain the following information: A description of the information that will be used/disclosed. The purpose for which the information will be disclosed. The name of the person or entity to whom the information will be disclosed.

The complete name of the person or entity to receive the protected health information (PHI) A specific description of the information to be used or disclosed, including the dates of service. The purpose of the requested use and disclosure.