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Library Type: Govt. Agency /Court Links& Materials
Library Category: Disability Benefits>First Circuit>Medical evidence -- Health Care>Health Care -- General
 

HIPAA (Health Insurance Portability and Accountability Act) is a federal law that  protects the privacy of your medical records and information.  HIPAA limits who your health care providers can share your medical information with, unless you give your permission in writing by filling out an Authorization for Release of Information form. For more information about HIPAA, go to the HIPAA, Frequently Asked Questions section of the U.S. Department of Health and Human Services website, http://www.hhs.gov/ocr/privacy/hipaa/faq/index.html

Sample Authorization for Release of Information

Click here to download a sample, HIPAA compliant form that has been prepared by the Massachusetts Department of Public Health.  By filling out this form and giving it to your health care providers, you are giving them permission to share your medical records with the people or organizations listed on the form.

This item was originally posted at http://www.masslegalservices.org/content/hipaa-compliant-release-form-allow-others-see-your-medical-records-and-protected-health