Name the nine areas that a compliant release authorization must have per HIPAA.

Question

What will be an ideal response?

Answer 1

1. Health information authorized for disclosure; 2. Name of entity releasing the information; 3. Name of entity receiving the information; 4. Purpose of the disclosure; 5. Statement informing the patient to revoke authorization, how to revoke authorization, and exceptions to revoking; 6. Statement that the hospital cannot require the patient to sign the authorization in order to receive treatment; 7. Statement that the information disclosed pursuant to the authorization may be re-disclosed by the recipient of the information and the information is no longer protected by federal privacy regulations; 8. Statement that the authorization will expire on a specific date, after a specific amount of time has elapsed, or upon a circumstance or an event related to the patient; 9. Signature of patient and date signed and if patient's representative signs the authorization, then it must include a description of that person's authority to act for the patient.