Texas Authorization for Use and / or Disclosure of Protected Health Information

State:
Multi-State
Control #:
US-178EM
Format:
Word; 
Rich Text
Instant download

Description

This form allows an employee to authorize the types of medical information to be disclosed by human resources.
Free preview
  • Preview Authorization for Use and / or Disclosure of Protected Health Information
  • Preview Authorization for Use and / or Disclosure of Protected Health Information

How to fill out Authorization For Use And / Or Disclosure Of Protected Health Information?

US Legal Forms - one of the largest collections of legal documents in the United States - provides a broad selection of legal templates you can download or print.

While navigating the website, you can discover numerous forms for business and personal purposes, segmented by categories, states, or keywords.

You can find the latest versions of forms such as the Texas Authorization for Use and/or Disclosure of Protected Health Information in just a few minutes.

Examine the form information to confirm that you have chosen the right form.

If the form does not meet your requirements, utilize the Search bar at the top of the screen to find one that does.

  1. If you presently have a subscription, Log In and download the Texas Authorization for Use and/or Disclosure of Protected Health Information from the US Legal Forms library.
  2. The Download button will be visible on every form you examine.
  3. You can access all previously saved forms from the My documents tab in your profile.
  4. If you are looking to use US Legal Forms for the first time, here are straightforward instructions to assist you in getting started.
  5. Make sure you have selected the correct form for your specific city/area.
  6. Click the Review button to evaluate the form's content.

Form popularity

FAQ

An authorization must specify a number of elements, including a description of the protected health information to be used and disclosed, the person authorized to make the use or disclosure, the person to whom the covered entity may make the disclosure, an expiration date, and, in some cases, the purpose for which the

What are two required elements of an authorization needed to disclose PHI? Response Feedback: All authorizations to disclose PHI must have an expiration date and provide an avenue for the patient to revoke his or her authorization. What does the term "Disclosure" mean?

Valid HIPAA Authorizations: A ChecklistNo Compound Authorizations. The authorization may not be combined with any other document such as a consent for treatment.Core Elements.Required Statements.Marketing or Sale of PHI.Completed in Full.Written in Plain Language.Give the Patient a Copy.Retain the Authorization.

Marketing Activities: A covered entity must obtain an individual's authorization prior to using or disclosing PHI for marketing activities. Marketing is considered any message or statement to the public in an effort to get them to use or seek more information about a product or service.

A patient authorization is not required for disclosure of PHI between Covered Entities if the disclosure is needed for purposes of treatment or payment or for healthcare operations. You may disclose the PHI as long as you receive a request in writing.

Covered entities may disclose protected health information that they believe is necessary to prevent or lessen a serious and imminent threat to a person or the public, when such disclosure is made to someone they believe can prevent or lessen the threat (including the target of the threat).

Under the HIPAA Privacy Rule, a covered entity must disclose protected health information in only two situations: (a) to individuals (or their personal representatives) specifically when they request access to, or an accounting of disclosures of, their protected health information; and (b) to the Department of Health

Trusted and secure by over 3 million people of the world’s leading companies

Texas Authorization for Use and / or Disclosure of Protected Health Information