Florida Department of Elder Affairs Access to Records Request for Inspection of Protected Health Inf
Form Template
As required by the Health Information Portability and Accountability Act of 1996 (HIPAA), you have a right to request the opportunity to inspect and copy health information that pertains to you.
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The Department of Elder Affairs will evaluate your request through the Florida Department of Elder Affairs Access to Records Request for Inspection of Protected Health Information (PHI) app and will either grant it or explain the reason why the request will not be granted. In the event that your inspection request is not granted you may request that the decision be reviewed by someone other than the person who originally denied the request.
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