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Office for Civil Rights

HIPAA Privacy Rule: Disclosures for Emergency Preparedness - A Decision Tool


Authorization


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The core elements of a valid authorization include:

  • A meaningful description of the information to be disclosed
  • The name of the individual or the name of the person authorized to make the requested disclosure
  • The name or other identification of the recipient of the information
  • A description of each purpose of the disclosure (The statement "at the request of the individual" is sufficient when the individual initiates the authorization and does not, or elects not to, provide a statement of the purpose)
  • An expiration date or an expiration event that relates to the individual
  • A signature of the individual or their personal representative (someone authorized to make health care decisions on behalf of the individual) and the date.

For additional requirements of a valid authorization, refer to the FAQs on authorizations.

Last revised: June 27, 2006

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