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Authorization To Release Medical Information Form

State:
North Carolina
Control #:
NC-00426
Format:
Word; 
Rich Text
Instant download

Description Authorization To Release Medical Records

This authorization is given to a healthcare provider by a patient treated for an injury or treatment pertinent to a criminal case in state court. Authorization is given to release specific records and reports to the district attorney, prosecutor, defense attorney, or law enforcement agency. North Carolina Authorization for Release of Medical Information for Criminal Cases is a legal document that allows health care providers to release confidential medical records to law enforcement and other authorities for the purpose of criminal cases. This document is signed by both the patient and the authorized healthcare provider and must be witnessed and notarized before it is valid. There are two types of North Carolina Authorization for Release of Medical Information for Criminal Cases: the single-use authorization and the blanket authorization. The single-use authorization allows the healthcare provider to release medical records related to a specific incident or criminal matter, while the blanket authorization allows for the release of medical records related to all criminal cases. The North Carolina Authorization for Release of Medical Information for Criminal Cases is a necessary document in order to ensure that the patient's medical information is kept confidential and is not used for any other purpose than what is outlined in the document.

North Carolina Authorization for Release of Medical Information for Criminal Cases is a legal document that allows health care providers to release confidential medical records to law enforcement and other authorities for the purpose of criminal cases. This document is signed by both the patient and the authorized healthcare provider and must be witnessed and notarized before it is valid. There are two types of North Carolina Authorization for Release of Medical Information for Criminal Cases: the single-use authorization and the blanket authorization. The single-use authorization allows the healthcare provider to release medical records related to a specific incident or criminal matter, while the blanket authorization allows for the release of medical records related to all criminal cases. The North Carolina Authorization for Release of Medical Information for Criminal Cases is a necessary document in order to ensure that the patient's medical information is kept confidential and is not used for any other purpose than what is outlined in the document.

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Authorization To Release Medical Information Form