40 Tex. Admin. Code § 71.206 - Release under Client Authorization
(a)
DHS will disclose information about a client from a client case file if it
receives a valid authorization to release the information signed by the client
or the client's personal representative.
(b) To be valid, an authorization to release
client information other than individually identifiable health information must
contain the following elements:
(1) a
description of the information to be disclosed;
(2) the identity of the person who is being
authorized to disclose information;
(3) the identity of the person to whom the
information is to be disclosed;
(4)
a description of the purpose of the disclosure;
(5) an expiration event that is related to
the client or the purpose of the disclosure or an expiration date;
(6) the date the client or the client's
personal representative signed the authorization;
(7) if the client's personal representative
signed the authorization, a description of the personal representative's
authority to act;
(8) a statement
describing the client's right to revoke the authorization; and
(9) a statement about whether the client's
refusal to sign the authorization will affect the client's eligibility for or
delivery of services.
(c) In addition to the elements described in
subsection (b) of this section, a valid authorization to release individually
identifiable health information must tell the client that information released
under an authorization may no longer be private and may be released further by
the person receiving the information.
Notes
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