Indiana Code 12-24-11-2. Patient with developmental disability; release to local agency serving such needs in residing area; authorization; form; requisites
Terms Used In Indiana Code 12-24-11-2
(c) If a patient is admitted to a state institution, the staff of the state institution shall, before the patient is discharged, ask the patient whether the patient’s medical and treatment records may be sent to a service coordinator employed by the division of disability and rehabilitative services under IC 12-11-2.1 so the service coordinator may send the records to local agencies serving the needs of individuals with a developmental disability in the area in which the patient will reside.
(d) If a patient agrees to release the records, the patient shall sign a form permitting the state institution to release to a service coordinator employed by the division of disability and rehabilitative services under IC 12-11-2.1 a copy of the patient’s medical and treatment records to forward to local agencies serving the needs of individuals with a developmental disability in the area in which the patient will reside. The form must read substantially as follows:
AUTHORIZATION TO RELEASE |
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MEDICAL AND TREATMENT |
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RECORDS |
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I agree to permit ________________________________ |
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(name of state institution) |
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to release a copy of the medical and treatment records of |
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__________________ |
to _________________________ |
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(patient’s name) |
(name of local agency |
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serving the needs of |
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individuals with a developmental disability) |
______________ |
___________________________ |
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(date) |
(signature) |
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___________________________ |
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(address) |
__________________ |
___________________________ |
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(signature of individual |
(relationship to patient if |
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securing release of |
signature is not that of the |
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medical and treatment |
patient) |
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records) |
(e) If a patient knowingly signs the form for the release of medical records under subsection (d), a service coordinator employed by the division of disability and rehabilitative services under IC 12-11-2.1 shall allow local agencies serving the needs of individuals with a developmental disability in the area in which the patient will reside to obtain the following:
(1) The patient’s name.
(2) The address of the patient’s intended residence.
(3) The patient’s medical records.
(4) A complete description of the treatment the patient was receiving at the state institution at the time of the patient’s discharge.
(f) If the local agency does not obtain a patient’s records, the state institution shall deliver the medical records to the local agency before or at the time the patient is discharged.
(g) If a patient does not agree to permit the release of the patient’s medical and treatment records, the service coordinator shall deliver:
(1) the patient’s name; and
(2) the address of the patient’s intended residence;
to local agencies serving the needs of individuals with a developmental disability in the area in which the patient will reside before or at the time the patient is discharged.
[Pre-1992 Revision Citation: 16-14-28-1(b).]
As added by P.L.2-1992, SEC.18. Amended by P.L.4-1993, SEC.200; P.L.5-1993, SEC.213; P.L.24-1997, SEC.55; P.L.272-1999, SEC.45; P.L.141-2006, SEC.65; P.L.99-2007, SEC.117.