Title 26B
Chapter 8
Part 5
Section 514
| Index | Utah Code |
| Title 26B | Utah Health and Human Services Code |
| Chapter 8 | Health Data, Vital Statistics, and Utah Medical Examiner |
| Part 5 | Utah Health Data Authority |
| Section 514 | Standard health record access form.
(Effective 5/3/2023)
|
Affected by 63I-1-226 on 7/1/2036
Effective 5/3/2023
26B-8-514.
Standard health record access form.
| (1) |
As used in this section:
| (a) |
"HIPAA" means the Health Insurance Portability and Accountability Act of 1996, Pub. L. No. 104-191, 110 Stat. 1936, as amended. |
| (b) |
"Patient" means the individual whose information is being requested. |
| (c) |
"Personal representative" means an individual described in 45 C.F.R. Sec. 164.502(g). |
|
| (2) |
Before December 31, 2022, the department shall create a standard form that:
| (a) |
is compliant with HIPAA and 42 C.F.R. Part 2; and |
| (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:
| (ii) |
the patient's personal representative; |
| (iii) |
the patient's attorney; or |
| (iv) |
a third party authorized by the patient. |
|
|
| (3) |
The form described in Subsection (2) shall include fields for:
| (b) |
the patient's date of birth; |
| (c) |
the patient's phone number; |
| (d) |
the patient's address; |
| (e) |
| (i) |
the patient's signature and date of signature, which may not require notarization; or |
| (ii) |
the signature of the patient's personal representative and date of signature, which may not require notarization; |
|
| (f) |
the name, address, and phone number of the person to which the information will be disclosed; |
| (g) |
the records requested, including whether the patient is requesting paper or electronic records; |
| (h) |
the duration of time the authorization is valid; and |
| (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):
| (a) |
history and physical examination records; |
| (c) |
emergency room records; |
| (d) |
radiology and lab reports; |
| (i) |
outpatient clinic records and progress notes; |
| (j) |
behavioral health evaluation; |
| (k) |
behavioral health discharge summary; |
| (l) |
mental health therapy records; |
| (m) |
financial information including an itemized billing statement; |
| (n) |
health insurance claim form; |
|
Renumbered and Amended by Chapter
306, 2023 General Session