Utah Code 26B-8-514. Standard health record access form
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(1) As used in this section:
Terms Used In Utah Code 26B-8-514
- Person: means :(24)(a) an individual;(24)(b) an association;(24)(c) an institution;(24)(d) a corporation;(24)(e) a company;(24)(f) a trust;(24)(g) a limited liability company;(24)(h) a partnership;(24)(i) a political subdivision;(24)(j) a government office, department, division, bureau, or other body of government; and(24)(k) any other organization or entity. See Utah Code 68-3-12.5
- Signature: includes a name, mark, or sign written with the intent to authenticate an instrument or writing. See Utah Code 68-3-12.5
(1)(a) “HIPAA” means the Health Insurance Portability and Accountability Act of 1996, Pub. L. No. 104-191, 110 Stat. 1936, as amended.(1)(b) “Patient” means the individual whose information is being requested.(1)(c) “Personal representative” means an individual described in 45 C.F.R. § 164.502(g).
(2) Before December 31, 2022, the department shall create a standard form that:
(2)(a) is compliant with HIPAA and 42 C.F.R. Part 2 ; and
(2)(b) a patient or a patient’s personal representative may use to request that a copy of the patient’s health records be sent to any of the following:
(2)(b)(i) the patient;
(2)(b)(ii) the patient’s personal representative;
(2)(b)(iii) the patient’s attorney; or
(2)(b)(iv) a third party authorized by the patient.
(3) The form described in Subsection (2) shall include fields for:
(3)(a) the patient’s name;
(3)(b) the patient’s date of birth;
(3)(c) the patient’s phone number;
(3)(d) the patient’s address;
(3)(e)
(3)(e)(i) the patient’s signature and date of signature, which may not require notarization; or
(3)(e)(ii) the signature of the patient’s personal representative and date of signature, which may not require notarization;
(3)(f) the name, address, and phone number of the person to which the information will be disclosed;
(3)(g) the records requested, including whether the patient is requesting paper or electronic records;
(3)(h) the duration of time the authorization is valid; and
(3)(i) the dates of service requested.
(4) The form described in Subsection (2) shall include the following options for the field described in Subsection (3)(g):
(4)(a) history and physical examination records;
(4)(b) treatment plans;
(4)(c) emergency room records;
(4)(d) radiology and lab reports;
(4)(e) operative reports;
(4)(f) pathology reports;
(4)(g) consultations;
(4)(h) discharge summary;
(4)(i) outpatient clinic records and progress notes;
(4)(j) behavioral health evaluation;
(4)(k) behavioral health discharge summary;
(4)(l) mental health therapy records;
(4)(m) financial information including an itemized billing statement;
(4)(n) health insurance claim form;
(4)(o) billing form; and
(4)(p) other.