![]() If you would like for the agency providing treatment to disclose protected health information to a third party, you must provide that agency with written authorization. Supply a date range for the records you need. It is not applicable to protected health information controlled by another agency providing treatment services, including treatment plans, toxicology reports, encounter notes, discharge summaries and other information related to treatment. Send an email to nw. identifying yourself with name, birthdate, health record number, and phone number. ![]() Note: The release of protected health information provided to DBH only applies to information controlled by DBH. Other evidence of an appropriate relationship. Power of attorney or other legal authority to act on behalf of an individual with respect to health care or Identification as parent, guardian, or acting in loco parentis with respect to minors Įxecutor or administrator with respect to a deceased individual or estate Documents appropriate to verify authority include: The requesting individual must also present evidence of an appropriate relationship with the client with respect to healthcare. Documents appropriate to verify identity include: When responding to a request for protected health information, the Privacy Officer must verify the identity and authority of the requesting individual. The Health Insurance Portability and Accountability Act, or HIPAA, for short. With access to your health information you can make better decisions with your doctor, better track your progress and do more to be healthy. Having access to your health records is a powerful tool in staying healthy. The Medical Records hours of operation are Monday- Friday 8:00am – 4:30 pm (when the District government is open). Access to your health information is your right. You can submit the request by mail or fax. ![]() To request a record, you must submit a completed Request for Release of Information / Authorization – HIPAA Form 3 DBH Privacy Officer. ![]() It must be accompanied by a court order.). The digital medical records file expires 30 days from the delivery date, and to access your medical records file, you must use your email address as your. If authorized by court order (Note: a subpoena alone is not sufficient for disclosure of this information. Without patient authorization only under the following circumstances:įor the purpose of treating a condition that poses an immediate threat to the health of any individual and requires immediate medical intervention or Patient or, for minor patients, his or her parent or legal guardian įor patients adjudicated incompetent, the person authorized under District law to act on his or her behalf įor deceased patients, the patient’s executor, administrator or personal representative.Ģ. Records of the identity, diagnosis, prognosis, or treatment of any patient may be disclosed only under the following conditions: That confidentiality is protected by federal law and regulations as well as District of Columbia law and regulations. Records related to an individual’s treatment for substance abuse are strictly confidential. ![]()
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