Authorization to Use and Disclose Protected Health Information (Phi) - Monroe County, New York

Authorization to Use and Disclose Protected Health Information (Phi) is a legal document that was released by the Department of Public Health - Monroe County, New York - a government authority operating within New York. The form may be used strictly within Monroe County.

FAQ

Q: What is Protected Health Information (PHI)?
A: Protected Health Information (PHI) refers to any information about a person's health or healthcare that is collected, stored, transmitted, or received by healthcare providers.

Q: Why is authorization needed to use and disclose PHI?
A: Authorization is needed to use and disclose PHI to protect individuals' privacy rights and comply with the Health Insurance Portability and Accountability Act (HIPAA) regulations.

Q: What is the purpose of this document?
A: The purpose of this document is to obtain the individual's authorization to use and disclose their PHI as outlined in the form.

Q: Who needs to sign this authorization form?
A: The individual whose PHI is being used and disclosed needs to sign this authorization form.

Q: What information is included in the authorization form?
A: The authorization form typically includes information such as the purpose of the disclosure, the types of information being disclosed, the parties involved, and the expiration date of the authorization.

Q: Can an authorization be revoked?
A: Yes, the individual has the right to revoke the authorization at any time. However, revoking the authorization may not affect any actions that were already taken based on the original authorization.