RECORD REQUEST

Requests for Release of Information:

1. If the patient comes in person, to fill out a request, they must bring government-issued, picture identification, such as a driver’s license, passport, military card.

2. If a patient wants to get copies of their record, they may submit a written request; the form must be notarized to verify that the signature belongs to the patient.

3. The patient must complete the Idaho Skin Center Release of Records Authorization Form to Disclose PHI.

4. An Idaho Skin Center staff member will sign the form as a witness to verify that the form is complete and the signature belongs to the person making the request.

5. If the patient completes the form and sends their request by USPS Mail or FAX, the form must be notarized to verify that the signature belongs to the patient.

6. If a third party (friends, family members, other) requests to see or copy a patient’s health information, they must either have the patient with them and follow these instructions, OR they must present a notarized authorization signed by the patient to health information and present government-issued, picture identification. 

All Records Requests are processed through IDSC Administration

 30 days to respond to a request for records is typical for IDSC Administration. Administration is allowed an additional 30 days, if needed, to respond.