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Department of Medical Records 4801 Alberta El Paso, TX 79905 9152154482 9152158614 (fax) PATIENT INFORMATION TTU HSC El Paso MAN:_Authorization to Release and Disclose Patient InformationPATIENT NAME:DATE
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Anyone who needs to handle protected health information (PHI) related to Texas Tech or its affiliated entities, and who must comply with HIPAA regulations, may need HIPAA approved forms. This can include healthcare providers, insurance companies, researchers, administrative staff, and any other entities involved in patient information management.
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The HIPAA approved forms at Texas Tech are specific documentation required for compliance with the Health Insurance Portability and Accountability Act, which governs the handling of protected health information.
Healthcare providers, health plans, and healthcare clearinghouses that handle protected health information are required to file HIPAA approved forms at Texas Tech.
To fill out HIPAA approved forms at Texas Tech, follow the provided guidelines, ensuring that all required fields are completed accurately, and submit the form as instructed.
The purpose of HIPAA approved forms at Texas Tech is to ensure compliance with privacy regulations and to protect the confidentiality of patient health information.
Information such as patient identification, type of health information, and relevant details regarding the request or use of health information must be reported on HIPAA approved forms at Texas Tech.
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