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The purpose of this Policy is to set forth the University’s process for the use and disclosure of PHI pursuant to a written authorization.

This policy describes the uses and disclosures of protected health information (PHI) that require written authorization prior to use or disclosure. This policy establishes guidelines for obtaining and properly documenting an individual’s authorization for any use and/or disclosure of PHI that requires prior authorization. This policy also identifies the elements of a valid authorization and verification for release of PHI upon receipt of an authorization.

The scope of this policy is all workforce members of ��ɳ���� University’s health care component. ��ɳ���� University is a hybrid entity. Only the health care component (i.e., the covered functions) of ��ɳ���� University must comply with this policy. All references in this policy to “��ɳ���� University” shall be construed to refer only to the health care component of ��ɳ���� University.

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Policy and Forms Updated February 2025