Get Printable Hipaa Authorization Form For Family Members

Indianapolis / Howard / Anderson Make a request online. Make a request in MyChart. Call our Release of Information line at 317-355-5802. Email your request to ROIRequests@eCommunity.com. Fax a signed and dated request to 317-351-7728.

HIPAA states that the patient owns their own information, with very few exceptions, and they have the right to receive a copy of the information. In the states that fall under Federal Guidelines, the medical records belong to the provider, practice or facility that created the record.

A HIPAA authorization is a detailed document in which specific uses and disclosures of protected health are explained in full. By signing the authorization, an individual is giving consent to have their health information used or disclosed for the reasons stated on the authorization.

Under Indiana law, “a [healthcare] provider shall supply to a patient the health records possessed by the provider concerning the patient.” Ind.

Privacy and Confidentiality Standards – The HIPAA Privacy Rule created national standards for protecting an individual's medical records and other personal health information. The regulations established safeguards that health care providers and others must implement to protect the privacy of health information.

To obtain records of a deceased patient: The executor or administrator of a decedent's estate may obtain records if they provide a letter testamentary, a letter of administration or a "short certificate" showing that they are authorized to act as the personal representative of the decedent.

A HIPAA authorization form gives covered entities permission to use protected health information for purposes other than treatment, payment, or health care operations.

Under Indiana medical records laws, only the patient, authorized representative, or an authorized health case worker has access to medical records, except by subpoena or other court order.