Requests are completed within 14 business days of submitted request.
As of 12/23/2024 - Attestation Regarding a Requested Use or Disclosure of Protected HealthInformation Potentially Related to Reproductive Health Care
When a HIPAA covered entity or business associate receives a request for protected health information(PHI) potentially related to reproductive health care, it must obtain a signed attestation that clearly states the requested use or disclosure is not for the prohibited purposes described below, where the request is for PHI for any of the following purposes:
If you are seeking PHI related to any of the purposes noted above, please complete this Attestation and PHI Request Form instead:
https://hushforms.com/ignitecounselingcolorado-6260
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