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Authorization to Use and Disclose Protected Health Information is a legal document that was released by the Utah Department of Health and Human Services - a government authority operating within Utah.
Q: What is Protected Health Information?
A: Protected Health Information (PHI) is any information about a person’s health status or healthcare that can be linked to an individual.
Q: Why do I need authorization to use and disclose PHI?
A: Authorization is required to ensure that individuals have control over their own health information and to protect the privacy and confidentiality of medical records.
Q: Who can authorize the use and disclosure of PHI?
A: The individual, or their legally authorized representative, must sign and provide written authorization for the use and disclosure of PHI.
Q: What information must be included in the authorization?
A: The authorization must include a specific description of the information being disclosed, the purpose of the disclosure, the expiration date, and the individual's right to revoke the authorization.
Q: Is there a fee for authorizing the use and disclosure of PHI?
A: No, there should not be a fee charged for authorizing the use and disclosure of PHI.
Q: Are there any exceptions to obtaining authorization for the use and disclosure of PHI?
A: Yes, there are certain circumstances where authorization is not required, such as for treatment, payment, or healthcare operations, or when required by law.
Q: What are the consequences of unauthorized use or disclosure of PHI?
A: The unauthorized use or disclosure of PHI can result in legal and financial consequences, including fines, penalties, and potential civil or criminal liability.
Q: Is my health information protected under state laws in Utah?
A: Yes, Utah has state laws in place to protect the privacy of health information, in addition to federal laws, such as the Health Insurance Portability and Accountability Act (HIPAA).
Q: Can I revoke my authorization for the use and disclosure of PHI?
A: Yes, you have the right to revoke your authorization for the use and disclosure of PHI at any time by providing a written revocation to the covered entity or individual who received the authorization.
Form Details:
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