医疗记录 & 信息发布

医疗保健病人出院 & 授权

发布信息的例行请求

1. If a patient wants to look at their medical record or get copies of their record, they may submit a written request to the Health Information Department.
2. 如果病人亲自来的话, 他们必须携带政府发行的护照, 图像识别, 比如驾照, 护照, 军事卡.
3. The patient must complete the ‘病人 授权 to Disclose Protected Health Information’ form. 披露PHI的授权书.
4. A University of Utah Health staff member will sign the form as a witness to verify that the form is complete and the signature belongs to the person making the request.
5. If the patient completes the form and send their request by mail, 电邮或传真, the form must be notarized to verify that the signature belongs to the patient.
6. 如果有第三者（朋友）, 家庭成员, other) requests to see or copy a patient’s health information, they must either have the patient with them and follow these instructions, OR they must present a notarized authorization signed by the patient to health information and present government-issued, 图像识别. 

Health Information has up to 30 days to respond to a request for records.

执法部门新闻稿 & 授权

Non-Routine Release of Information to Attorneys, Law Enforcement, or Administrative Agencies

1. 病人 授权 for Release of Protected Health Information (PHI)——授权, 由记录主体签名, which identifies the specific records we are authorized to release. 有有效的发布和授权. If the patient appears in person and presents identification, no notary is required. 如果申请是通过邮寄或传真提交的, the signature must be notarized to ensure verification of requestor identity.
2. 法院命令—An order of a court or administrative tribunal with jurisdiction to order records from University of Utah Health, which identifies the specific records U of U Health is required to release to you and imposes appropriate safeguards against unauthorized disclosure.
3. Affidavit of Issuance of a Valid Subpoena AND Proof of 病人 Notice and Time for Response*—A valid subpoena from a court of competent jurisdiction in Utah accompanied by a completed, affidavit in the form and a copy of the Notice in the form specified in the affidavit.
4. Affidavit of Issuance of a Valid Subpoena AND Protective Order*—A valid subpoena from a court of competent jurisdiction in Utah accompanied by a completed affidavit in the form and a copy of the Protective Order in the form specified in the affidavit.
5. 发放心理治疗笔记的病人授权书—A separate, specific authorization is required for the disclosure of psychotherapy notes. 这些都必须经过公证.
6. 向检察官发布信息—Utah Rule Criminal Procedure 14 - A prosecuting attorney may submit a subpoena under Utah Rule Criminal Procedure (URCP) 14 for a case that has been filed. If the records being requested are those of a victim(s) who are not also the defendant(s), one of the other process listed in this document must be followed. 为了加快传票的处理, please make sure to indicate that it is being submitted under URCP 14 and that a case has been filed.
7. Affidavit of Proof of Child Abuse/Neglect Investigation*—If your request is pursuant to Utah Code § 62A-4a-406(3), 亲自到场并出示身份证明, or complete the Child Abuse/Neglect Investigation Affidavit.

*Note: Federal law prohibits University of Utah Health from releasing substance abuse treatment records without a patient authorization directing us to release such records, 或者是一个特定的法院命令. 未经授权或法院命令, University of Utah Health cannot even disclose whether such records exist. 参见42 CFR第2部分.

If you have questions, please contact the Health Information Department at 801-581-2704. Many of these forms can be opened, filled in, and printed on-line.

如何提交病人资料发布表格

The applicable form must be filled out for the release of health care information. 如有疑问，请与卫生信息办公室联系.