Orange California Hippo Release Form for Child is a legal document that grants permission to healthcare providers to disclose the child's protected health information (PHI) to a designated individual or organization. This HIPAA release form ensures compliance with the Health Insurance Portability and Accountability Act (HIPAA) regulations which safeguard patient privacy and confidentiality. The Orange California HIPAA Release Form for Child contains various crucial details: 1. Child's Information: The form requires the child's full name, date of birth, mailing address, and contact information. 2. Authorized Individual/Entity: This section is used to identify the person or organization authorized to receive the child's PHI. It includes their name, relationship to the child, address, and contact information. 3. Purpose of Disclosure: The form specifies the purpose for which the child's PHI will be disclosed, such as healthcare coordination, educational purposes, research, or legal requirements. It may also provide an option to specify any limitations on disclosure. 4. Specific Information to be Disclosed: This section allows the individual granting permission to specify the exact information that can be disclosed, such as medical records, test results, treatment notes, or any other relevant health information. Types of Orange California HIPAA Release Forms for Child: 1. General HIPAA Release Form for Child: This form grants authorization for the disclosure of a child's PHI for general purposes and is not limited to a specific individual or entity. 2. Limited HIPAA Release Form for Child: This form restricts the disclosure of the child's PHI to specific individuals or organizations and outlines the purpose and scope of the disclosure. 3. Emergency HIPAA Release Form for Child: This form authorizes the immediate disclosure of the child's PHI to healthcare providers in case of a medical emergency, ensuring prompt and proper medical care. 4. School HIPAA Release Form for Child: This form permits the disclosure of a child's relevant health information to school personnel, enabling them to provide appropriate care and support during academic activities. Orange California HIPAA Release Form for Child ensures compliance with HIPAA regulations while allowing authorized individuals or entities access to a child's PHI for specified purposes. It guarantees the protection of the child's privacy and maintains confidentiality throughout the process of exchanging health information.