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CLINICAL LAB SCIENEC

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ESSENTIALS OF CLINICAL LABORATORY SCIENCE

To

WITNESS

RELEASE AND ASSIGNMENT

Date

INSURANCE COMPANY

Group No.

Certificate No.

I hereby authorize Dr.

to release to your company or its representative, any information

including the diagnosis and the records of any treatment or

examination rendered to me during the period of such Medical or

Surgical care.

I also authorize and request your company to pay directly to the

above named doctor the amount due me in my pending claim for

Basic Medical, Major Medical and/or Surgical treatment or services,

by reason of such treatment or services rendered to:

PATIENT

SIGNATURE OF INSURED

ADDRESS

Limited and Specified Use of Personal

Medical Information

There are limits as to how information may

be used and what information will be shared,

which does not include personal information

or the patient’s entire medical file. In the past,

many facilities sold information to companies

performing research or those interested

in marketing a product and desired a population

that used a particular product. Personal

information not related to health care issues

may be provided to outside entities, but the

patient must authorize release of medical and/

or personal information to other health care

facilities, providers, insurance companies, or

financial institutions. Facilities must reveal

dissemination of demographic information to

other agencies that are studying a region of

the country or a particular population group.

FIGURE 3-3 Official form that provides a release of medical information

as approved by patient.

Source: Delmar/Cengage Learning.

Prohibition on Marketing

Information released to pharmacies, pharmaceutical

firms, health plans, and so on must be authorized by the patient, as stated

previously, before the information may be transmitted. As an example, many pharmaceutical

firms use patient data for research purposes related to treatment with

medications developed for the treatment of specific diseases. Patients are asked to

sign a release allowing specific information to be passed to an insurance carrier or

another agency needing such information.

Stronger State Laws

These federal privacy standards give states that have laws requiring privacy protections

for patients a minimum standard to ensure that effective protections

are in effect. One area where this requirement would affect state laws is in the

reporting of infectious diseases to state health departments. Certain protections

of this information would be in effect for the states in their reporting, tracking,

and use of information for surveillance purposes. Most states have laws requiring

the reporting of certain contagious and communicable diseases . This type

of surveillance is necessary to provide more protection for the entire population.

Sexually transmitted and foodborne diseases comprise the major portion of

reportable diseases as required by law .

Confidential Communications

Patients may request that physicians, their health care plans, and other involved

offices enact practices that ensure that communication with the patient is kept

Copyright 2010 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).

Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.

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