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West Cary Family Physicians 256 Town Village Dr, Cary NC 275138910 Phone: (919) 4602015 Fax (919) 4602016 AUTHORIZATION FOR RELEASE OF MEDICAL RECORD INFORMATION Patient Name: Date of Birth: Medical
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What is release of information records?
Release of information records are documents that authorize the disclosure of an individual's protected health information to a specified person or entity.
Who is required to file release of information records?
Healthcare providers, insurance companies, and other entities that handle protected health information are typically required to file release of information records.
How to fill out release of information records?
Release of information records can be filled out by providing the necessary personal information of the individual requesting the disclosure, specifying the information to be disclosed, and signing the authorization.
What is the purpose of release of information records?
The purpose of release of information records is to ensure that individuals have control over who can access their protected health information and to facilitate the sharing of information between healthcare providers.
What information must be reported on release of information records?
Release of information records typically require the individual's personal information, the information to be disclosed, the purpose of the disclosure, and any limitations on the release of information.
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