Docstoc

HIPAA Authorization for Use and Disclosure Policy and Form

Document Sample
HIPAA Authorization for Use and Disclosure Policy and Form Powered By Docstoc
					This HIPAA Authorization for Use and Disclosure Policy and Form should be executed
by an individual
				
DOCUMENT INFO
Description: This HIPAA Authorization for Use and Disclosure Policy and Form should be executed by an individual seeking the release and distribution of certain health records. The form states the individual’s purpose for this authorization of disclosure and distribution and further sets forth the time limit pertaining to the release and disclosure. This document includes a clause whereby by individual acknowledges that upon authorizing the release of the health information and records to the parties named in the form, such health information and records may no longer be federally protected.
This document is also part of a package HR Forms for your Business 108 Documents Included