This form is used to inform the plaintiff's medical provider that an attorney has been retained by plaintiff and that plaintiff authorizes the release to attorney of all of his or her medical records.
Minnesota Authorization for Medical Information
State:
Multi-State
Control #:
US-PI-0244
Format:
Word;
Rich Text
Instant download
Description
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How to fill out Authorization For Medical Information?
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FAQ
(a) A provider or group purchaser may release patient identifying information and information about the location of the patient's health records to a record locator or patient information service without consent from the patient, unless the patient has elected to be excluded from the service under paragraph (d).
Release of information is the process of providing access to protected health information (PHI) to an individual or entity authorized to receive it. Even with electronic health records, the process is complicated and governed by both federal and state regulations.
The proper release of medical records always requires authorization to protect the patient's privacy and to help keep you from being liable.
Informed consent is written permission from an individual to allow a government entity to release the individual's private data to another government or non-government entity or person, or to use the individual's private data within the entity in a different way (Minnesota Statutes, section 13.05, subdivision 4).
Minnesota Statute 144.3431 allows youth who are 16 years of age or older to consent for outpatient mental health services. Confidentiality protections allow adolescents and young adults to seek the health care they need and protect their privacy for these services.
This form should include specific details such as the person or organization being authorized, the person or organization being sent the information, the nature of the information being shared, the reason for the disclosure of information, and important statements that the patient needs to understand before they sign.
No person shall be liable for performing treatment without consent if written, informed consent was given pursuant to this subdivision. This provision shall not affect any other liability which may result from the manner in which the treatment is performed.