Authorization to Use and Disclose Protected Health Information - the Local Choice - Virginia

Authorization to Use and Disclose Protected Health Information - the Local Choice is a legal document that was released by the Virginia Department of Human Resource Management - a government authority operating within Virginia.

FAQ

Q: What is the purpose of the Authorization to Use and Disclose Protected Health Information?
A: The purpose is to allow the release of a patient's health information to a specified individual or organization.

Q: What is Protected Health Information (PHI)?
A: PHI refers to any individually identifiable health information that is created or received by a healthcare provider, health plan, employer, or healthcare clearinghouse.

Q: Why do I need to sign an Authorization to Use and Disclose PHI?
A: You need to sign this authorization to give permission for your healthcare provider or health plan to share your health information with others.

Q: Who can request access to PHI with a signed authorization?
A: A signed authorization allows anyone specifically identified in the authorization to access and receive your PHI.

Q: Can I limit the information disclosed in an authorization?
A: Yes, you can specify the specific information you want to authorize for disclosure and any limitations on its use.

Q: Is there a time limit on how long an authorization is valid?
A: There is no expiration date specified in the Authorization to Use and Disclose PHI, but you can specify an expiration date or event in the authorization.

Q: Can I revoke an authorization?
A: Yes, you have the right to revoke an authorization at any time in writing.

Q: Are there any exceptions to the requirement for a signed authorization?
A: Yes, there are certain circumstances where a signed authorization is not required, such as for treatment, payment, or healthcare operations.

Q: What happens if my authorization is not accepted?
A: If your authorization is not accepted, your healthcare provider or health plan may not release your protected health information to the requested individual or organization.