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Montgomery Eye Physicians & Surgeons Howard Kane, O.D., M.D. Kristen C. Zeller, M.D. Yun Ja Park, M.D.Use and Disclosure of Protected Health Information PatIEnt aCKnOwlEDgEMEnt & COnSEnt fOrM Our
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Use and disclosure refer to the ways in which personal or sensitive information is handled, shared, or utilized, typically in the context of privacy regulations and compliance.
Entities that handle personal data, such as healthcare providers, employers, or any organization subject to privacy laws, are usually required to file use and disclosure forms.
To fill out a use and disclosure form, carefully provide all requested information about the data usage practices, specify the types of information being collected, and indicate the purposes for which the information is used or shared.
The purpose of documenting use and disclosure is to ensure transparency regarding the handling of personal information and to comply with legal requirements aimed at protecting individuals' privacy rights.
The report must include details such as the types of data collected, the purposes of use, third parties with whom the data is shared, and individuals' rights concerning their information.
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