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

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

This form allows an employee to authorize the types of medical information to be disclosed by human resources. The Washington Authorization for Use and/or Disclosure of Protected Health Information (PHI) is a legal document that allows healthcare providers and other covered entities to share an individual's PHI under certain circumstances. This authorization is a crucial component of maintaining patient privacy and complying with federal and state laws such as the Health Insurance Portability and Accountability Act (HIPAA). One type of Washington Authorization for Use and/or Disclosure of Protected Health Information is the general authorization. This type of authorization grants the healthcare provider the ability to use and/or disclose the individual's PHI for purposes such as treatment, payment, and healthcare operations. Treatment includes activities like diagnosis, assessment, and provision of medical care. Payment encompasses billing and insurance-related transactions, while healthcare operations involve activities like quality assessment and improvement, training, and accreditation. Another type of Washington Authorization for Use and/or Disclosure of Protected Health Information is the research authorization. This specific authorization is required when a healthcare provider intends to share an individual's PHI for research purposes. It ensures that individuals are aware of and consent to their health information being used in research studies. This authorization typically includes details about the specific research project, the purposes for which the PHI will be used or disclosed, and any potential risks and benefits associated with the research. Moreover, Washington state also recognizes a specific authorization for the disclosure of substance use disorder treatment records. This type of authorization applies to situations where information related to substance use disorder treatment needs to be shared. It serves to protect the privacy and confidentiality of individuals seeking treatment for substance abuse or addiction. In order to create a Washington Authorization for Use and/or Disclosure of Protected Health Information, certain elements must be present. These may include the individual's name and identifying information, a description of the PHI to be used or disclosed, the purpose of the disclosure, the parties involved in the disclosure, the expiration date of the authorization, and a statement of the individual's rights to revoke the authorization. By having different types of Washington Authorization for Use and/or Disclosure of Protected Health Information, healthcare entities can ensure that they are abiding by the specific requirements for each type of disclosure. This helps maintain privacy and confidentiality, while allowing for necessary sharing of PHI to facilitate treatment, research, or other approved purposes. It also promotes transparency and empowers individuals to make informed decisions about the use and disclosure of their health information.

The Washington Authorization for Use and/or Disclosure of Protected Health Information (PHI) is a legal document that allows healthcare providers and other covered entities to share an individual's PHI under certain circumstances. This authorization is a crucial component of maintaining patient privacy and complying with federal and state laws such as the Health Insurance Portability and Accountability Act (HIPAA). One type of Washington Authorization for Use and/or Disclosure of Protected Health Information is the general authorization. This type of authorization grants the healthcare provider the ability to use and/or disclose the individual's PHI for purposes such as treatment, payment, and healthcare operations. Treatment includes activities like diagnosis, assessment, and provision of medical care. Payment encompasses billing and insurance-related transactions, while healthcare operations involve activities like quality assessment and improvement, training, and accreditation. Another type of Washington Authorization for Use and/or Disclosure of Protected Health Information is the research authorization. This specific authorization is required when a healthcare provider intends to share an individual's PHI for research purposes. It ensures that individuals are aware of and consent to their health information being used in research studies. This authorization typically includes details about the specific research project, the purposes for which the PHI will be used or disclosed, and any potential risks and benefits associated with the research. Moreover, Washington state also recognizes a specific authorization for the disclosure of substance use disorder treatment records. This type of authorization applies to situations where information related to substance use disorder treatment needs to be shared. It serves to protect the privacy and confidentiality of individuals seeking treatment for substance abuse or addiction. In order to create a Washington Authorization for Use and/or Disclosure of Protected Health Information, certain elements must be present. These may include the individual's name and identifying information, a description of the PHI to be used or disclosed, the purpose of the disclosure, the parties involved in the disclosure, the expiration date of the authorization, and a statement of the individual's rights to revoke the authorization. By having different types of Washington Authorization for Use and/or Disclosure of Protected Health Information, healthcare entities can ensure that they are abiding by the specific requirements for each type of disclosure. This helps maintain privacy and confidentiality, while allowing for necessary sharing of PHI to facilitate treatment, research, or other approved purposes. It also promotes transparency and empowers individuals to make informed decisions about the use and disclosure of their health information.

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