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A waiver is a request to forgo the authorization requirement based on the fact that the disclosure of PHI involves minimal risk to the participant and the research cannot practically be done without access to/use of PHI.

OCA Official Form No.: 960 AUTHORIZATION FOR RELEASE OF HEALTH INFORMATION PURSUANT TO HIPAA.

The Health Insurance Portability and Accountability Act (HIPAA) Form 960 is a document that allows for the release of an individual's personal medical information to a specified entity.

OCA Form 960, Authorization to Release Health Information Pursuant to HIPAA, is a legal document signed by a patient that gives consent to the release of health information within the state of New York.

The Health Insurance Portability and Accountability Act (HIPAA) Form 960 is a document that allows for the release of an individual's personal medical information to a specified entity.

OCA 960, one of the more well-known OCA forms, is entitled, “Authorization for Release of Health Information Pursuant to HIPAA.” OCA 960 has been approved for use by the New York State Department of Health. Litigants use OCA 960 to authorize the release of health information needed in New York State courts.

OCA Official Form No.: 960 AUTHORIZATION FOR RELEASE OF HEALTH INFORMATION PURSUANT TO HIPAA.

A Privacy Rule Authorization is an individual's signed permission to allow a covered entity to use or disclose the individual's protected health information (PHI) that is described in the Authorization for the purpose(s) and to the recipient(s) stated in the Authorization.