DOEA Form 184 Access to Records Request for Inspection of Protected Health Information (Phi) - Florida

DOEA Form 184 Access to Records Request for Inspection of Protected Health Information (Phi) - Florida

What Is DOEA Form 184?

This is a legal form that was released by the Florida Department of Elder Affairs - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 184?
A: Form 184 is the Access to Records Request for Inspection of Protected Health Information (PHI) that is used in Florida.

Q: Who can use Form 184?
A: Form 184 can be used by individuals in Florida who wish to request access to their protected health information.

Q: What is protected health information (PHI)?
A: Protected health information (PHI) refers to any personal health information that is protected under federal privacy laws.

Q: Why would someone need to request access to their PHI?
A: Someone may need to request access to their protected health information (PHI) for a variety of reasons, such as reviewing their medical records or ensuring the accuracy of their health information.

Q: How can someone submit Form 184?
A: Form 184 can be submitted by mail or in person to the healthcare provider or facility where the individual's PHI is stored.

Q: Are there any fees associated with submitting Form 184?
A: Yes, there may be fees associated with submitting Form 184, such as charges for copying the requested records. The specific fees may vary depending on the healthcare provider or facility.

Q: What if someone's request for access to PHI is denied?
A: If someone's request for access to their protected health information is denied, they have the right to appeal the denial and request a review.

Q: Are there any time limits for processing a request for access to PHI?
A: Yes, healthcare providers and facilities are required to respond to a request for access to protected health information within a certain time frame, typically 30 days.

Q: Can someone use Form 184 to request access to someone else's PHI?
A: No, Form 184 can only be used to request access to an individual's own protected health information.

ADVERTISEMENT

Form Details:

  • Released on April 1, 2003;
  • The latest edition provided by the Florida Department of Elder Affairs;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of DOEA Form 184 by clicking the link below or browse more documents and templates provided by the Florida Department of Elder Affairs.

Download DOEA Form 184 Access to Records Request for Inspection of Protected Health Information (Phi) - Florida

4.3 of 5 (17 votes)
  • DOEA Form 184 Access to Records Request for Inspection of Protected Health Information (Phi) - Florida

    1

  • DOEA Form 184 Access to Records Request for Inspection of Protected Health Information (Phi) - Florida, Page 2

    2

  • DOEA Form 184 Access to Records Request for Inspection of Protected Health Information (Phi) - Florida, Page 3

    3

  • DOEA Form 184 Access to Records Request for Inspection of Protected Health Information (Phi) - Florida, Page 1
  • DOEA Form 184 Access to Records Request for Inspection of Protected Health Information (Phi) - Florida, Page 2
  • DOEA Form 184 Access to Records Request for Inspection of Protected Health Information (Phi) - Florida, Page 3
Prev 1 2 3 Next
ADVERTISEMENT