Patients have a right to access their medical records. It is important that we help provide patients with their own health information as well as help facilitate requests to release information to another provider. Patients also have the right to revoke a signed authorization at any time. In addition, patients may request to restrict the use and disclosure of their PHI and request alternative means of communication between themselves and the SCCE. Please have the patient fill out the appropriate form below and return to the specific clinic CCR.
- Patient requests records for themselves
- Patient requests records be sent to another provider
- Patient would like to revoke an authorization
- Patient would like to restrict the use and disclosure of their PHI
- Patient would like to request alternative means of communication of their PHI
- 21st Century Cures Act/Information Blocking Guide for Providers
- Authorization form to use PHI on websites and social media
- Clinic Observation Consent Form
- Process Sheet for Observation
Incident Reporting