Florida Department of Elder Affairs Request for Accounting of Disclosures of Protected Health Inform
Form Template
As required by the Health Information Portability and Accountability Act of 1996 (HIPAA), patients have a right to request an accounting of disclosures of health information that pertains to the patient.
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Applicants can use the Florida Department of Elder Affairs Request for Accounting of Disclosures of Protected Health Information app to request an accounting of disclosures of protected health information that have occurred up to the past six years. The app will be reviewed by a chief privacy officer and the applicant will be notified once a decision has been made.
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