Wake North Carolina Authorization to Use or Disclose Protected Health Information

State:
Multi-State
County:
Wake
Control #:
US-3580
Format:
Word; 
Rich Text
Instant download

Description

This form is used by an individual to consent to the use or disclosure of protected health information as described within. The individual also indicates the acknowledgment of his or her rights regarding consent to the use and disclosure of the information.

Title: Understanding Wake North Carolina Authorization to Use or Disclose Protected Health Information Description: As a resident of Wake County, North Carolina, it's crucial to comprehend the Wake North Carolina Authorization to Use or Disclose Protected Health Information. This authorization plays a crucial role in maintaining the privacy and security of an individual's health information. This comprehensive description will provide you with an in-depth understanding of the topic, covering different types and relevant keywords associated with Wake NC Authorization. Keywords: Wake North Carolina, Authorization to Use, Authorization to Disclose, Protected Health Information, HIPAA, privacy, disclosure, consent, regulations, patient rights, healthcare providers, PHI. Types of Wake North Carolina Authorization to Use or Disclose Protected Health Information: 1. Standard Authorization: This is the most common type of authorization used in Wake County. It allows healthcare providers to use or disclose an individual's protected health information (PHI) for purposes such as treatment, payment, and healthcare operations. These authorizations adhere to the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule. 2. Research Authorization: Wake NC also requires a specific authorization for healthcare providers or institutions involved in medical research that utilizes individuals' protected health information. This authorization ensures that researchers uphold strict privacy standards while conducting their studies. 3. Psychotherapy Notes Authorization: Under Wake NC guidelines, a separate authorization is needed for the use or disclosure of psychotherapy notes. Psychotherapy notes contain sensitive information derived during counseling sessions, and a specific authorization is mandatory to protect the privacy of mental health patients. 4. Minor's Authorization: In certain cases involving minors' health information, Wake NC requires additional consent from a parent or legal guardian before using or disclosing PHI. This authorization ensures that privacy rights are protected when handling a minor's sensitive health information. It is important to note that Wake North Carolina Authorization to Use or Disclose Protected Health Information complies with HIPAA regulations, which offer individuals certain rights concerning their health information. These rights include the ability to request restrictions on the use or disclosure of PHI, obtain a copy of their medical records, and be informed about how their health information is used. Providers and healthcare professionals must strictly adhere to these authorization guidelines to maintain confidentiality, protect patient privacy, and ensure compliance with applicable laws and regulations. In summary, understanding Wake North Carolina Authorization to Use or Disclose Protected Health Information is crucial for both healthcare providers and individuals. The various types of authorizations, including standard authorization, research authorization, psychotherapy notes authorization, and minor's authorization, reflect the complexity and importance of safeguarding patients' privacy and confidentiality in Wake County, North Carolina.

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FAQ

A signature and date that the authorization is signed by an individual or an individual's representative. If a representative is signing the form, the relationship with the patient must be detailed along with a description of the representative's authority to act on behalf of the patient.

Authorization. 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.

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.

Consent refers to an agreement by the patient to allow the health-care provider to use this information to carry out treatment, payment, and health-care operations. Authorization refers to the permission for the health-care provider to make specific disclosures not otherwise authorized by law.

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

The core elements of a valid authorization include: A meaningful description of the information to be disclosed. The name of the individual or the name of the person authorized to make the requested disclosure. The name or other identification of the recipient of the information.

Covered entities may disclose protected health information to: (1) public health authorities authorized by law to collect or receive such information for preventing or controlling disease, injury, or disability and to public health or other government authorities authorized to receive reports of child abuse and neglect

When is HIPAA Authorization Required? 45 CFR §164.508 details the uses and disclosures of PHI that require an authorization to be obtained from a patient/plan member before information can be shared or used. HIPAA authorization is required for: Use or disclosure of PHI otherwise not permitted by the HIPAA Privacy Rule.

Elements: A description of the PHI. The name of the person making the authorization. The name of the person or organization who is authorized to receive the PHI. A description of the purpose for the use or disclosure. An expiration date for the authorization. The signature of the person making the authorization.

What are two required elements of an authorization needed to disclose PHI? Response Feedback: All authorizations to disclose PHI must have an expiration date and provide an avenue for the patient to revoke his or her authorization.

More info

All prospective applicants must complete the online residency determination before they can apply to Wake Tech. Complete and sign where indicated on each form.AUTHORIZATION for USE or DISCLOSURE of PROTECTED HEALTH INFORMATION. Bill these companies directly and will follow up on outstanding balances. Please fill out this form and bring it with you to your appointment. If you are requesting records for a patient who lacks legal capacity or is unable to sign, an authorized personal representative may sign this form. If your appointment is scheduled at Wake Endoscopy Center, please bring all completed HIPAA authorization forms along with your completed registration. 2) Patient Health Information authorized to be disclosed (Check one):.

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Wake North Carolina Authorization to Use or Disclose Protected Health Information