What Information Is Required on a HIPAA Medical Release Form?


Quick Answer

HIPAA medical release forms must include the name of the individual the information pertains to, the names of the entities disclosing and receiving the information and details of the information to be disclosed, according to the U.S. Department of Health & Human Services. Information should only be included on HIPAA medical release forms as required to identify the individual.

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Full Answer

The HIPAA medical release form must then be signed or otherwise authorized by the individual or a legal representative to grant authorization of release of medical information, explains the U.S. Department of Health & Human Services. The explanation of the information to be released must be specific and in plain language. A medical release of any kind is considered a legal document. These documents must be signed and dated, in some cases with a witness present, with all signers under no duress and capable of making decisions.

A notary is not necessary with HIPAA medical release forms except as local and government laws require, states the U.S. Department of Health & Human Services. HIPAA medical release forms are needed to disclose medical information to people or organizations that are not involved in the care of the individual. Exceptions to this include information pertaining to public health risks, certain law enforcement purposes, government functions, workers' compensation claims and insurance claims. An individual has the right to his own medical information and may choose to have it released to any person or organization.

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