Authorization to Use or Disclose Protected Health Information - Shasta County, California

Authorization to Use or Disclose Protected Health Information is a legal document that was released by the Health & Human Services Agency - Shasta County, California - a government authority operating within California. The form may be used strictly within Shasta County.

FAQ

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

Q: What is considered protected health information?
A: Protected health information includes any information about a person's physical or mental health, medical conditions, treatments, or payment for healthcare.

Q: Who can request the release of protected health information?
A: Anyone can request the release of protected health information if they have the individual's written authorization.

Q: What is required for an authorization to be valid?
A: An authorization must be in writing, contain specific information about the individual, the information to be disclosed, and the purpose of the disclosure.

Q: Are there any exceptions to obtaining authorization for the use or disclosure of protected health information?
A: Yes, there are certain exceptions, such as for treatment, payment, or healthcare operations, and in cases where disclosure is required by law or for public health purposes.

Q: What should I do if I believe my protected health information has been improperly used or disclosed?
A: You should contact the Shasta County Department of Health and Human Services to report the incident and seek assistance.