044-54 Wyo. Code R. §§ 54-18 - Authorizations
(a) A valid
authorization to disclose nonpublic personal health information pursuant to
this Article V shall be in written or electronic form and shall contain all of
the following:
(i) The identity of the
consumer or customer who is the subject of the nonpublic personal health
information; and
(ii) A general
description of the types of nonpublic personal health information to be
disclosed.
(b)
Requirements.
(i) The signature of the
consumer or customer who is the subject of the nonpublic personal health
information, or the individual legally empowered to grant authority, and the
date signed and
(ii) Notice of the
length of time the authorization is valid, that the consumer or customer may
revoke the authorization at any time, and the procedure for making a
revocation.
(c) An
authorization for purposes of Article V shall specify a length of time the
authorization shall remain valid, which in no event shall be for more than
twenty-four (24) months.
(d) A
consumer or customer who is the subject of nonpublic personal health
information may revoke an authorization provided pursuant to Article V at any
time, subject to the rights of an individual who acted in reliance on the
authorization prior to notice of the revocation.
(e) A licensee shall retain the authorization
or a copy thereof in the record of the individual who is the subject of
nonpublic personal health information.
Notes
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