Authorization to Obtain Health Information - New Mexico

Authorization to Obtain Health Information - New Mexico

Authorization to Obtain Health Information is a legal document that was released by the New Mexico Department of Public Safety - a government authority operating within New Mexico.

FAQ

Q: What is an authorization to obtain health information?
A: An authorization to obtain health information is a document that gives permission for someone to access your medical records.

Q: Why would I need an authorization to obtain health information?
A: You may need an authorization to obtain health information if you want to release your medical records to another party, such as an insurance company or another healthcare provider.

Q: Who can give authorization to obtain health information?
A: You can give authorization to obtain health information for yourself, or you may need to give authorization on behalf of a minor child or someone who is unable to give consent.

Q: How do I obtain an authorization to obtain health information?
A: You can obtain an authorization to obtain health information by filling out a form provided by your healthcare provider, hospital, or insurance company.

Q: What information is included in an authorization to obtain health information?
A: An authorization to obtain health information typically includes your name, the purpose of the release, the specific information to be released, and the party to whom the information will be released.

Q: Does an authorization to obtain health information expire?
A: Yes, an authorization to obtain health information typically has an expiration date. You may need to provide a new authorization if the previous one has expired.

Q: Is there a fee for obtaining an authorization to obtain health information?
A: There may be a fee associated with obtaining an authorization to obtain health information. Check with your healthcare provider, hospital, or insurance company for any applicable fees.

Q: Is an authorization to obtain health information required by law?
A: In most cases, an authorization to obtain health information is not required by law. However, certain situations, such as releasing mental health or substance abuse treatment records, may require specific authorizations.

Q: Can I revoke an authorization to obtain health information?
A: Yes, you can revoke an authorization to obtain health information at any time. You may need to provide written notice to the party who received the authorization.

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Form Details:

  • The latest edition currently provided by the New Mexico Department of Public Safety;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the New Mexico Department of Public Safety.

Download Authorization to Obtain Health Information - New Mexico

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