Ok so what rights do we have to info?
Should I write up a form letter release to have parents sign in order to get immunization records etc. from MD offices? Or, are the MDs reponsible for that? I've had secretaries tell me that they can't even MAIL ( could see them hesitate about faxing things) me shot records for students without parental authorization. We all know how hard it is to pin parents down!! What am I supposed to do about F/U for injuries etc? I am almost afraid to ask parents why their kids were seen in the ER if they don't offer the reason first!
Bergren....you must know about this stuff!
or how we try to reduce the HIPPA headache for everyone...
I work in a 14 provider Peds Clinic and deal daily with requests for information from schools.
We always prefer the parent calls us and requests a copy of the info they want and picks it up (usually later the same day unless the chart is off in another department and we can't get it right away). We confirm the identity of the person picking it up.
We will fax immunization records to the school nurse if the parents call us and request it. The catch is we call the school and get their fax number and the name of the nurse we are directing it to. And we keep a paper trail.
Another is the meds in school forms...in theory the parent has us to fill out the form (we have the generic form approved by all of our local districts) at the time the Rx is written or at the back to school well child visit. In reality the parent ends up filling in their portion of the info at the school and signing the form when they try to give the meds to the school and find out they can't...the school faxes the form to us for completion/confirmation and the Docs sig. Very much a grey area. Again, we confirm the fax # and the nurses name AND we confirm with the parent that they originated the form before returning and document the paper trail.
3 of our Docs are neglect/abuse/sexual abuse medical investigators (we have 2 SANE nurses on staff with 1 on at all times). Many of our patients are in foster care. Because of the special circumstances those kids present we apply the rules to all patient: any other type of info/record requests must come thru the "propper channels" ie; a signed ROI that specifies the info being requested. The ROI can be faxed but the info is always returned via USPS with restricted delivery.
Last edit by kids on Jun 10, '03