26B-8-514. Standard health record access form.
(1) |
As used in this section:
Terms Used In Utah Code 26B-8-514
(a) |
“HIPAA” means the Health Insurance Portability and Accountability Act of 1996, Pub. L. No. 104-191, 110 Stat. 1936, as amended. |
(b) |
“Patient” means the individual whose information is being requested. |
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(2) |
Before December 31, 2022, the department shall create a standard form that:
(b) |
a patient or a patient’s personal representative may use to request that a copy of the patient’s health records be sent to any of the following:
(ii) |
the patient’s personal representative; |
(iii) |
the patient’s attorney; or |
(iv) |
a third party authorized by the patient. |
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(3) |
The form described in Subsection (2) shall include fields for:
(b) |
the patient’s date of birth; |
(c) |
the patient’s phone number; |
(d) |
the patient’s address; |
(e) |
(i) |
the patient’s signature and date of signature, which may not require notarization; or |
(ii) |
the signature of the patient’s personal representative and date of signature, which may not require notarization; |
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(f) |
the name, address, and phone number of the person to which the information will be disclosed; |
(g) |
the records requested, including whether the patient is requesting paper or electronic records; |
(h) |
the duration of time the authorization is valid; and |
(i) |
the dates of service requested. |
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(4) |
The form described in Subsection (2) shall include the following options for the field described in Subsection (3)(g):
(a) |
history and physical examination records; |
(c) |
emergency room records; |
(d) |
radiology and lab reports; |
(i) |
outpatient clinic records and progress notes; |
(j) |
behavioral health evaluation; |
(k) |
behavioral health discharge summary; |
(l) |
mental health therapy records; |
(m) |
financial information including an itemized billing statement; |
(n) |
health insurance claim form; |
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Renumbered and Amended by Chapter 306, 2023 General Session