l Post the approved authorization form on the organization’s website l Distribute new authorization forms to frequent requestors Appendix
An appendix to this Practice Brief, “Appendix A: Sample Authorization Form” is available online in the AHIMA HIM Body of Knowledge. Prepared by (2013)
Rose T. Dunn, MBA, RHIA, CPA, CHPS, FACHE Angela Dinh Rose, MHA, RHIA, CHPS, FAHIMA LaVonne Wieland, RHIA, CHP
Acknowledgments (2013)
Marisa Coloso, RHIA, CCS Jane DeSpiegelaere, MBA, RHIA, CCS, FAHIMA Kim Turtle Dudgeon, RHIT, CHTS-IS/TS, CMT Elisa R. Gorton, RHIA, CHPS, MAHSM Lesley Kadlec, MA, RHIA Diana Reed, RJIT, CCS-P Tina Sander, RHIT Peg Schmidt, RHIA, CHPS Diana Warner, MS, RHIA, CHPS, FAHIMA Gail Woytek, RHIA
Prepared by (2002)
Gwen Hughes, RHIA Prepared by (Original) Gwen Hughes, RHIA Cheryl Smith, BS, RHIT, CPHQ
Acknowledgments (Original)
Holly Ballam, RHIA Mary D. Brandt, MBA, RHIA, CHE, CHP Jill Callahan Dennis, JD, RHIA Michelle Dougherty, RHIA Beth Hjort, RHIA, CHP Harry Rhodes, MBA, RHIA Dorothy Grandolfi Wagg, JD, RHIA, CHP Notes
1. “Standards for Privacy of Individually Identifiable Health Information: Final Rule.” 45 CFR Parts 160 and 164. Federal Register 67, no. 157 (August 14, 2002).
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