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New Mexico HIPAA - Authorization to Disclose Protected Health Information - Mental Health Records

State:
New Mexico
Control #:
NM-SKU-0117
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HIPAA - Authorization to Disclose Protected Health Information - Mental Health Records

New Mexico HIPAA — Authorization to Disclose Protected Health Information — Mental Health Records is a waiver that individuals must sign if they wish to allow their mental health records to be disclosed to third parties. This waiver is in accordance with the Health Insurance Portability and Accountability Act (HIPAA) which protects an individual's confidential health information. There are two types of New Mexico HIPAA — Authorization to Disclose Protected Health Information — Mental Health Records: the Standard Authorization and the Limited Authorization. The Standard Authorization allows for the disclosure of mental health records without limitation. It does not require the individual to specify who can access the records or the purpose for which the records can be used. The Limited Authorization is more restrictive and requires an individual to specify who can access the mental health records and the purpose for which the records can be used. It also requires the individual to specify a time period for which the authorization is valid. New Mexico HIPAA — Authorization to Disclose Protected Health Information — Mental Health Records is designed to protect an individual's confidential health information and ensure that the information is only accessed by authorized parties for authorized purposes.

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FAQ

The name of the individual or the name of the person authorized to make the requested disclosure. The name or other identification of the recipient of the information.

The Health Insurance Portability and Accountability Act (HIPAA), in most instances, requires a patient's written authorization prior to uses and disclosures of their protected health information (PHI).

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.

A HIPAA authorization is consent obtained from an individual that permits a covered entity or business associate to use or disclose that individual's protected health information to someone else for a purpose that would otherwise not be permitted by the HIPAA Privacy Rule.

The HIPAA Privacy Rule requires that an individual provide signed authorization to a covered entity, before the entity may use or disclose certain protected health information (PHI).

The core elements of a valid authorization include: A meaningful description of the information to be disclosed. The name of the individual or the name of the person authorized to make the requested disclosure. The name or other identification of the recipient of the information.

You may disclose the PHI as long as you receive a request in writing. The written request must contain: the covered entity's name, the patient's name, the date of the event/time of treatment, and the reason for the request.

A covered entity is permitted, but not required, to use and disclose protected health information, without an individual's authorization, for the following purposes or situations: (1) To the Individual (unless required for access or accounting of disclosures); (2) Treatment, Payment, and Health Care Operations; (3)

More info

1) This Authorization permits the release and use of the personal health information ("PHI") of: Patient's Name: Date of Birth: Last Four Digits of SSN:. The medical record information release (HIPAA) form allows a patient to give authorization to a 3rd party and access their health records.HIPAA Procedure 5031. Authorization Requirements for Use and Disclosure of Protected. The medical record information release (HIPAA) form allows a patient to give authorization to a 3rd party and access their health records. If the Authorizations you receive do not contain all 12 items, then the Authorization is not compliant for release of Protected Health Information. HIPAA - Authorization to Disclose Protected Health Information - Mental Health Records ; Form: PDF icon MedRelease2. All records and other information regarding my treatment, hospitalization, and outpatient care for my impairment(s) including, but not limited to:. All records and other information regarding my treatment, hospitalization, and outpatient care for my impairment(s) including, but not limited to:. HIPAA permits providers to disclose PHI with the patient's written consent, provided that the Rule's particular content and other requirements are met.

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New Mexico HIPAA - Authorization to Disclose Protected Health Information - Mental Health Records