Virginia Authorization for Disclosure of Medical Information to Law Firm

State:
Multi-State
Control #:
US-AG05
Format:
Word; 
Rich Text
Instant download

Description

This form is for use and/or disclosure of the specific personally identifiable health information identified in form pursuant to the requirements of 45 C.F.R. Sect 164.508, which sets out the federal privacy regulations for the Health Insurance Portability and Accountability Act of 1996 and authorizes the Covered Entity identified in the form to release the personally identifiable health information specifically referenced in th form.

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FAQ

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.

An investigator shall seek such consent only under circumstances that provide the individual who is the prospective subject or the representative sufficient opportunity to consider whether to participate and that minimize the possibility of coercion or undue influence.

Virginia Code § 32.1-127. requires that when the health records of a pro se party or non-party witness are subpoenaed from the health care entity, a notice must be provided to the individual.

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. Use or share your information for marketing or advertising purposes or sell your information.

Accurate records are not kept to appease the patient's family; they are kept, ultimately, to provide appropriate patient care. Who ultimately decides whether a medical record can be released? The patient ultimately decides whether his or her medical record can be released.

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).

If a health care provider is unable to provide such health records within 30 days of receipt of such request, such provider shall notify the requester of such health records in writing of the reason for the delay and shall have no more than 30 days after the date of such written notice to comply with such request.

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Virginia Authorization for Disclosure of Medical Information to Law Firm