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Patient Privacy Information
- The
Request and Authorization for Disclosure of Health Information
form may also be used by a member to give a family member or friend access to PHI, however, it is really intended to be used by a member to give a group administrator, human resources or a broker access to the member's PHI (someone who is not directly involved in the member's healthcare). This is necessary due to HIPAA Privacy Regulations.
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California Request and Authorization for Disclosure of Health Information
(CALIFORNIA RESIDENTS ONLY)
This form may also be used by a member to give a family member or friend access to PHI, however, it is really intended to be used by a member to give a group administrator, human resources or a broker access to the member's PHI (someone who is not directly involved in the member's healthcare). This is necessary due to HIPAA Privacy Regulations.
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