The Privacy Rule, a Federal law, gives you rights over your health information and sets rules and limits on who can look at and receive your health information. The Privacy Rule applies to all forms of individuals’ protected health information, whether electronic, written, or oral. This includes photos of affected sites.
The Health Insurance Portability and Accountability Act (HIPAA) impacts any organization that deals with individuals’ identifiable health information. When you make a request to our organization/board of directors, or any other organization, to share your personal health information (PHI), we/they fall under the criteria set by federal and state laws. Although we are not classified as a covered entity or direct business associate, the moment we have possession of your PHI, we become responsible to the law to protect that information.
Therefore, under the direction of an attorney, we have chosen to provide HIPAA Disclosure documentation, for everyone’s protection. If you make a request for you or your child’s, personal health information to be shard with a physician in or outside of the United States, you must first complete and sign a HIPAA form.
Please click the HIPAA link below, to complete your form, and be sure to remain within the form fields. All fields may be typed, with the exception of the signature. Click the sticky note next to the signature field, and follow the instructions. This form will be returned to you, once it is signed by the organization’s president. After submitting the completed form, you will be redirected back to the CMTC-OVM US website.