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Health Port Policy: Unauthorized Disclosure of Protected Health Information Policy Number: 1003 Effective: July 2011 Revised: April 2015 Approved by: Rita Bowen, MA, RHEA, CAPS, SGB Sr. VP HIM and
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To fill out the healthport policy unauthorized disclosure form, follow these steps:
02
Begin by entering your personal information, including your full name, date of birth, and contact details.
03
Next, provide the name of the healthcare facility or organization that you are affiliated with.
04
Specify the date and time of the incident or unauthorized disclosure that occurred.
05
Describe in detail the nature of the unauthorized disclosure, including what information was disclosed and how it happened.
06
Indicate whether any actions have been taken to address the unauthorized disclosure, such as reporting it to a supervisor or IT department.
07
Sign and date the form to certify that the information provided is accurate and complete.
08
Submit the filled-out form to the appropriate person or department within your organization.

Who needs healthport policy unauthorized disclosure?

01
Healthcare professionals, employees, or individuals who have experienced or witnessed unauthorized disclosure of sensitive health information need to fill out the healthport policy unauthorized disclosure form.
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Healthport policy unauthorized disclosure refers to the improper sharing or release of protected health information without proper authorization.
Healthcare providers, facilities, and business associates are required to file healthport policy unauthorized disclosure if a breach occurs.
Healthport policy unauthorized disclosure forms can typically be filled out online or submitted through a designated compliance officer.
The purpose of healthport policy unauthorized disclosure is to ensure that any unauthorized sharing of protected health information is reported and addressed promptly.
Information such as the nature of the breach, the individuals affected, and steps taken to mitigate the breach must be reported on healthport policy unauthorized disclosure.
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