Authorization to Obtain Health Information is a legal document that was released by the New Mexico Department of Public Safety - a government authority operating within New Mexico.
Q: What is an authorization to obtain health information?
A: An authorization to obtain health information is a document that gives permission for someone to access your medical records.
Q: Why would I need an authorization to obtain health information?
A: You may need an authorization to obtain health information if you want to release your medical records to another party, such as an insurance company or another healthcare provider.
Q: Who can give authorization to obtain health information?
A: You can give authorization to obtain health information for yourself, or you may need to give authorization on behalf of a minor child or someone who is unable to give consent.
Q: How do I obtain an authorization to obtain health information?
A: You can obtain an authorization to obtain health information by filling out a form provided by your healthcare provider, hospital, or insurance company.
Q: What information is included in an authorization to obtain health information?
A: An authorization to obtain health information typically includes your name, the purpose of the release, the specific information to be released, and the party to whom the information will be released.
Q: Does an authorization to obtain health information expire?
A: Yes, an authorization to obtain health information typically has an expiration date. You may need to provide a new authorization if the previous one has expired.
Q: Is there a fee for obtaining an authorization to obtain health information?
A: There may be a fee associated with obtaining an authorization to obtain health information. Check with your healthcare provider, hospital, or insurance company for any applicable fees.
Q: Is an authorization to obtain health information required by law?
A: In most cases, an authorization to obtain health information is not required by law. However, certain situations, such as releasing mental health or substance abusetreatment records, may require specific authorizations.
Q: Can I revoke an authorization to obtain health information?
A: Yes, you can revoke an authorization to obtain health information at any time. You may need to provide written notice to the party who received the authorization.
Form Details:
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the New Mexico Department of Public Safety.