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45 Foster Rd., Hopewell Junction, NY 12533 email: office communityprimarycare.com tel: 845.226.4590 fax: 845.226.2465 web: communityprimarycare.com PATIENT AUTHORIZATION TO DISCLOSE HEALTH INFORMATION
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What is patient authorization to disclose?
Patient authorization to disclose is a legal document that allows healthcare providers to release a patient's medical information to specified individuals or organizations.
Who is required to file patient authorization to disclose?
Healthcare providers or entities that have access to a patient's medical records are required to file patient authorization to disclose.
How to fill out patient authorization to disclose?
Patient authorization to disclose must be completed by the patient or their legal guardian, specifying who is authorized to receive the medical information and for what purpose.
What is the purpose of patient authorization to disclose?
The purpose of patient authorization to disclose is to protect patient privacy and ensure that their medical information is only shared with authorized individuals or organizations.
What information must be reported on patient authorization to disclose?
Patient authorization to disclose must include the patient's name, date of birth, the medical information to be disclosed, the individuals or organizations authorized to receive the information, and the purpose of the disclosure.
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