Effective 5/4/2022
26-70-102. Standard health record access form.
26-70-102. Standard health record access form.
- (1) 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:
- (i) the patient;
- (ii) the patient’s personal representative;
- (iii) the patient’s attorney; or
- (iv) a third party authorized by the patient.
- (2) The form shall include fields for:
- (a) the patient’s name;
- (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.
- (3) The form shall include the following options for the field described in Subsection (2)(g):
- (a) history and physical examination records;
- (b) treatment plans;
- (c) emergency room records;
- (d) radiology and lab reports;
- (e) operative reports;
- (f) pathology reports;
- (g) consultations;
- (h) discharge summary;
- (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;
- (o) billing form; and
- (p) other.
Enacted by Chapter 327, 2022 General Session
Technically renumbered to avoid duplication of newly enacted Chapter also in SB 104, Chapter 279.