Authorization to Disclose Health Information is a legal document that was released by the South Carolina Department of Health and Human Services - a government authority operating within South Carolina.
Q: What is an Authorization to Disclose Health Information?
A: An Authorization to Disclose Health Information is a document that allows a healthcare provider to share your medical information with a third party.
Q: Why would I need to sign an Authorization to Disclose Health Information?
A: You may need to sign an Authorization to Disclose Health Information if you want your healthcare provider to share your medical records with another person or organization.
Q: Who can request my medical information with an Authorization to Disclose Health Information?
A: With an Authorization to Disclose Health Information, you can specify who can request and access your medical information.
Q: Is an Authorization to Disclose Health Information permanent?
A: No, an Authorization to Disclose Health Information typically has an expiration date. After that date, the authorization is no longer valid.
Q: Can I revoke an Authorization to Disclose Health Information?
A: Yes, you can revoke an Authorization to Disclose Health Information at any time. Once revoked, the healthcare provider will no longer be able to share your medical information.
Q: Do I have to sign an Authorization to Disclose Health Information?
A: Signing an Authorization to Disclose Health Information is voluntary. You are not required to sign it if you do not want to share your medical information with others.
Q: Can an Authorization to Disclose Health Information be used for any purpose?
A: No, an Authorization to Disclose Health Information is specific to the purpose stated in the document. It cannot be used for any other purpose.
Q: What happens if I don't sign an Authorization to Disclose Health Information?
A: If you don't sign an Authorization to Disclose Health Information, your healthcare provider will not be able to share your medical information with anyone without your consent.
Form Details:
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the South Carolina Department of Health and Human Services.