Virginia Request for an Individuals Health Information

State:
Multi-State
Control #:
US-3577
Format:
Word; 
Rich Text
Instant download

Description

This form is used by an individual to request access to his or her protected health information. The individual's rights regarding this access are also acknowledged by the individual.

How to fill out Request For An Individuals Health Information?

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FAQ

$0.50 per page for up to 50 pages. $0.25 a page thereafter. $1.00 per page for copies from microfilm.

A request for copies of medical records must be in writing, dated and signed by the person making the request, and include a reasonable description of the records sought. If someone is making a request on your behalf, he or she must provide evidence of the authority to receive the records (such as a power of attorney).

All medical records, either original or accurate reproductions, shall be preserved for a minimum of five years following discharge of the patient. 1. Records of minors shall be kept for at least five years after such minor has reached the age of 18 years.

Mature Minors In some states, minors over the age of 14 or 15 years old may be considered a mature minor and given the right to consent to medical care or treatment. However, Virginia has not, to date, recognized mature minors as being legally empowered to consent to medical care or treatment.

A minor may access his services record without the permission of a parent only if the records pertain to treatment for sexually transmitted or contagious diseases, family planning or pregnancy, outpatient care, treatment or rehabilitation for substance use disorders, mental illness or emotional disturbance, or

Can I move out at 17 in Virginia? If you are a minor in Virginia, you must reach 16 before you are allowed to move out. You still need your parents' consent since, being a minor, they have the right to force you back home. You must be 18 years old to move out without parental consent.

Minors who consent to their own treatment (as authorized under §54.1-2969) have the legal right to give, or refuse to give, consent for disclosures to others, both under that statute and under the Virginia Health Records Privacy Statute ( A§ 32.1-127. ) and under HIPAA.

Patient confidentiality is necessary for building trust between patients and medical professionals. Patients are more likely to disclose health information if they trust their healthcare practitioners. Trust-based physician-patient relationships can lead to better interactions and higher-quality health visits.

How to Request Your Medical Records. Most practices or facilities will ask you to fill out a form to request your medical records. This request form can usually be collected at the office or delivered by fax, postal service, or email. If the office doesn't have a form, you can write a letter to make your request.

Code of VA § 8.01-413 (B) permits health care entities to charge fees to attorneys, insurers and others authorized by the patient for copies of medical records.

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Virginia Request for an Individuals Health Information