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Florida Request for Accounting of Disclosures of Protected Health Information

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US-3581
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Description

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.

Florida Request for Accounting of Disclosures of Protected Health Information is a legal document that allows individuals in the state of Florida to request an account of any disclosures made of their protected health information (PHI). This document is governed by the Health Insurance Portability and Accountability Act (HIPAA) regulations and is designed to ensure the privacy and security of personal health information. The Florida Request for Accounting of Disclosures of Protected Health Information form can be utilized by patients, their authorized representatives, or legal guardians to obtain a comprehensive record of any disclosures of their PHI by healthcare providers, health plans, or other entities subject to HIPAA regulations in Florida. The purpose of this request is to provide patients with information about who has accessed or received their PHI, when these disclosures occurred, and the purpose for which the information was shared. It grants individuals the right to be aware of how their health information is being used or disclosed without their explicit consent. There are different types of Florida Request for Accounting of Disclosures of Protected Health Information, depending on the nature of the request and its objective. They include: 1. General Request for Accounting of Disclosures: This type of request allows individuals to obtain a comprehensive record of all disclosures of their PHI made by covered entities within a specified timeframe. 2. Limited Request for Accounting of Disclosures: This form is used when individuals wish to request an account of only specific disclosures or a limited set of PHI disclosures within a designated timeframe. This may be useful in situations where the individual suspects unauthorized disclosures or wants to monitor the access to specific PHI. 3. Emergency Request for Accounting of Disclosures: In emergency situations where immediate access to information is required, this specialized form allows individuals to request a swift accounting of specific PHI disclosures without delay, ensuring quick resolution and action. When filling out the Florida Request for Accounting of Disclosures of Protected Health Information, individuals should provide detailed information about themselves, including their name, contact information, date of birth, social security number, and any other information necessary to identify them and facilitate the processing of the request. Additionally, individuals need to specify the time period for which they want the accounting of disclosures and the type of information they are seeking. It is important to note that healthcare providers and other covered entities in Florida are legally obligated to honor these requests and provide an accurate and timely response within the timeframe specified by HIPAA regulations. Individuals have the right to be informed about the use and disclosure of their health information, ensuring transparency and protecting their privacy rights.

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FAQ

HIPAA enables patients to learn to whom the covered entity has disclosed their PHI. This is called an accounting of disclosures. The accounting will cover up to six years prior to the individual's request date and will include disclosures to or by business associates of the covered entity.

Other instances necessitating Accounting of Disclosures (AOD) include: Those Required by Law (Court Orders, subpoenas, state reporting, emergencies) Public Health Activities (Prevention of disease, public health investigations) Victims of abuse, neglect, or domestic violence.

Under the HIPAA Privacy Rule, a covered entity must act on an individual's request for access no later than 30 calendar days after receipt of the request.

The Privacy Rule at 45 CFR 164.528 requires covered entities to make available to an individual upon request an accounting of certain disclosures of the individual's protected health information made during the six years prior to the request.

The maximum disclosure accounting period is the six years immediately preceding the accounting request, except a covered entity is not obligated to account for any disclosure made before its Privacy Rule compliance date.

With limited exceptions, the HIPAA Privacy Rule (the Privacy Rule) provides individuals with a legal, enforceable right to see and receive copies upon request of the information in their medical and other health records maintained by their health care providers and health plans.

The Privacy Rule does not require accounting for disclosures: (a) for treatment, payment, or health care operations; (b) to the individual or the individual's personal representative; (c) for notification of or to persons involved in an individual's health care or payment for health care, for disaster relief, or for

Patients (or their Personal Representatives see Yale Policy 5038 - Personal Representatives) may request an accounting of disclosures by submitting a request in writing using the Request for Accounting of Disclosures of Protected Health Information form, or other sufficient written documentation requesting the

Under the HIPAA Privacy Rule, a covered entity must act on an individual's request for access no later than 30 calendar days after receipt of the request.

A covered entity must produce records 30 days from the date of request. HIPAA allows a covered entity one 30-day extension if it provides written notice to the patient stating the reason for the delay and the expected date. This applies to both paper and electronic records.

More info

Right to an Accounting of Disclosures: You have the right to request an ?accounting of disclosures? of your protected information if the disclosure was made ... You have the right to request an accounting of certain disclosures of your protected health information made by the provider. This right applies to disclosures ...You may also request that any part of your protected health information not be disclosed to family members or friends who may be involved in you care or for ... To request an accounting of disclosures, please write to the Director of Health Information Management,. 12902 Magnolia Drive, Tampa, Florida, 33612-9497. You ...8 pages To request an accounting of disclosures, please write to the Director of Health Information Management,. 12902 Magnolia Drive, Tampa, Florida, 33612-9497. You ... To request this list of disclosures, you must submit your request on a form that we will provide to you. Your request must state a time period that may not be ... To request an accounting of disclosures, you must submit a request in writing, stating a time period beginning after April 13, 2003 that is within six years ... To obtain a request form for an accounting of disclosures, please write to the Privacy Officer. Right to Receive Notification of a Breach. You have the right to ... Patient protected health information (PHI) be tracked for purposes of providing anThe Requests by Patients for Accounting of Certain Disclosures policy ... We may disclose the Protected Health Information of minor childrenThe first accounting of disclosures you request within any 12-month ... Maintain the privacy of your protected health information;prior to the date that the accounting is requested except for disclosures to ...

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Florida Request for Accounting of Disclosures of Protected Health Information