The following “Frequently Asked Questions” address general questions about patient privacy.
Patient Policy
HIPAA is the Health Insurance Portability and Accountability Act of 1996. The Privacy Rule governs how we treat and protect all patient information.
The Clinic Manager.
The Notice of Privacy Practices is a legal document that says how the medical practice will protect the individual's privacy. Entira Family Clinics posts this privacy notice and provides it to each individual.
You will need to complete a Request for Designated Other to have Access to PHI. By completing this form you are authorizing the medical practice to speak to or release medical information to those individuals you list on the form.
Request for Designated Other to have Access to PHI
- Name
- Address
- Birthdate
- Admission or Discharge Dates
- Date of Death
- Telephone or fax Numbers
- Email Address
- Social Security Numbers
- Medical Records Numbers
- Health Plan Beneficiary Number
- Account Numbers
- Medical Record/Chart