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.
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.
Form Details:
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.