This letter serves to notify client's medical provider of attorney's representation of client. Letter further requests disclosure to attorney of client's medical records and related other information.
Tennessee Letter to Doctor Requesting Client's Medical Information
State:
Multi-State
Control #:
US-PI-0017
Format:
Word;
Rich Text
Instant download
Description
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How to fill out Letter To Doctor Requesting Client's Medical Information?
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FAQ
Costs of Reproduction, Copying or Mailing of Records. The party requesting the patient's records is responsible to the provider for the reasonable costs of copying and mailing such patient's records.
I was treated in your office [at your facility] between [fill in dates]. I request copies of the following [or all] health records related to my treatment. [Identify records requested (e.g., medical-history form you filled out; physician and nurses' notes; test results; consultations with specialists; referrals).]
Under Tennessee law, hospital records are considered property of the hospital and only accessible by court order or a written request by the patient. The state also has mandatory reporting requirements for communicable diseases and sexually transmitted infections.
Tennessee Data Breach Notification Law The HIPAA Breach Notification Rule requires healthcare organizations to report breaches that compromise the confidentiality, integrity, or availability of protected health information.
Several Tennessee privacy laws are more protective of citizen's health information than federal law. The Tennessee Department of Health is a hybrid entity under HIPAA. Who must comply with HIPAA? What is Protected Health Information (PHI)?
63-2-101, ?Notwithstanding any other provision of law to the contrary, a health care provider shall furnish to a patient or a patient's authorized representative a copy or summary of such patient's medical records, at the option of the health care provider, within ten (10) working days upon request in writing by the ...
Your health information cannot be used or shared without your written permission unless this law allows it. For example, without your authorization, your provider generally cannot: Give your information to your employer.
$20.00 for medical records 5 pages or less in length. $0.50 per page for each page copied after the first 5 pages. Actual cost of mailing.