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

State:
Multi-State
County:
Harris
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.

The Harris Texas Authorization for Use and/or Disclosure of Protected Health Information is a legal document that provides consent for the release and disclosure of an individual's private and sensitive health information. This authorization is commonly used in the healthcare industry to comply with the Health Insurance Portability and Accountability Act (HIPAA) regulations and ensure the protection of patients' confidential data. When an individual seeks medical treatment or healthcare services in Harris, Texas, they may be required to sign this authorization form. By signing this document, the patient grants permission and consents to specific healthcare providers or designated entities to disclose their protected health information (PHI) to others, as outlined in the document. Keywords: — Harris Texas: Refers to the geographical location where the authorization form is implemented, specifically in Harris County, Texas. — Authorization for Use and/or Disclosure: Denotes that this document serves two primary purposes — granting consent for both the use and disclosure of PHI. — Protected Health Information (PHI): Refers to any individually identifiable health information related to an individual's past, present, or future physical or mental health conditions, provision of healthcare services, or payment for such services. PHI includes a broad range of information, from medical records and test results to insurance details and demographic data. — Health Insurance Portability and Accountability Act (HIPAA): Refers to the federal law enacted in 1996 that establishes national standards for the privacy, security, and confidentiality of PHI. HIPAA regulations ensure that individuals' health information is appropriately safeguarded and only disclosed for legitimate purposes. Different Types of Harris Texas Authorization for Use and/or Disclosure of Protected Health Information: 1. General Authorization: This type of authorization grants consent for the broad use and disclosure of PHI by various healthcare providers, allowing them to share information for treatment, payment, and healthcare operations. 2. Specific Purpose Authorization: This type of authorization is more narrowly tailored and limits the use and disclosure of PHI to a specific purpose or entity. For example, it might authorize the release of medical records and test results to a specialist for consultation. 3. Research Authorization: In certain cases, individuals may be asked to provide separate authorization specifically for the use of their PHI in research studies. This type of authorization outlines the details of the research project and the intended use and disclosure of the individual's health information. It is crucial for individuals to carefully review and understand the Harris Texas Authorization for Use and/or Disclosure of Protected Health Information before signing it. They should ask any questions and seek clarification from healthcare providers or legal professionals if needed, ensuring that they are aware of the extent and implications of sharing their private health information.

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FAQ

Authorized Disclosure means the disclosure of Protected Information strictly in accordance with the Confidentiality Control Procedures applicable thereto: (i) as to all Protected Information, only to a Related Party that has a need to know such Protected Information strictly for Project Purposes and that has agreed in

A covered entity is permitted, but not required, to use and disclose protected health information, without an individual's authorization, for the following purposes or situations: (1) To the Individual (unless required for access or accounting of disclosures); (2) Treatment, Payment, and Health Care Operations; (3)

A covered entity must obtain the individual's written authorization for any use or disclosure of protected health information that is not for treatment, payment or health care operations or otherwise permitted or required by the 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 HHS when it is undertaking a compliance investigation or

Examples of organizations that do not have to follow the Privacy and Security Rules include: Life insurers. Employers. Workers compensation carriers.

An authorization is a detailed document that gives covered entities permission to use protected health information for specified purposes, which are generally other than treatment, payment, or health care operations, or to disclose protected health information to a third party specified by the individual.

However, the provision at 45 CFR 164.512(i)(1)(ii) does not permit the researcher to remove protected health information from the covered entity's site. As such, a researcher who is an employee or a member of the covered entity's workforce could use protected health information to contact prospective research subjects.

Exceptions Under the HIPAA Privacy Rule for Disclosure of PHI Without Patient Authorization Preventing a Serious and Imminent Threat.Treating the Patient.Ensuring Public Health and Safety.Notifying Family, Friends, and Others Involved in Care.Notifying Media and the Public.

A covered entity may disclose protected health information to the individual who is the subject of the information. (2) Treatment, Payment, Health Care Operations. A covered entity may use and disclose protected health information for its own treatment, payment, and health care operations activities.

Generally speaking, covered entities may disclose PHI to anyone a patient wants. They may also use or disclose PHI to notify a family member, personal representative, or someone responsible for the patient's care of the patient's location, general condition, or death.

More info

The law permits us to use or disclose your health information for the following purposes: 1. Treatment. You have the right to request restrictions on our uses and disclosures of protected health information for treatment, payment and health care operations.Please see the "Authorization for Use and Disclosure of Protected Health. Information (PHI)" section below for more information. Uses and Disclosures of Protected Health Information. 6561 E. Carondelet Drive, Tucson, Arizona 85710. Form Number 280342 Authorization for Use, Request, and Disclosure of. Please fill out this form as completely as possible. 1 32261 (W0816) Authorization For Disclosure OR Request For Access To Protected Health Information Read instructions on p.

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