Authorization for the Release of Medical Information - Maryland

Authorization for the Release of Medical Information is a legal document that was released by the Maryland Attorney General - a government authority operating within Maryland.

FAQ

Q: What is the Authorization for the Release of Medical Information form used for?
A: The Authorization for the Release of Medical Information form is used to give permission for the release of a patient's medical information to a specific person or entity.

Q: Who can use the Authorization for the Release of Medical Information form in Maryland?
A: Any individual or entity that needs access to a patient's medical information can use the Authorization for the Release of Medical Information form in Maryland.

Q: What information is required on the form?
A: The form typically requires the patient's name, date of birth, contact information, specific information to be released, the purpose of the release, and the name of the person or entity authorized to receive the information.

Q: Can a patient revoke the authorization at any time?
A: Yes, a patient can revoke the authorization at any time by submitting a written request to the person or entity who received the authorization.

Q: Is the form specific to Maryland?
A: Yes, the form is specific to Maryland and complies with the state's laws and regulations regarding the release of medical information.