Patient with developmental disability; release to local agency serving such needs in residing area; authorization; form; requisites
As added by P.L.2-1992, SEC.18. Amended by P.L.4-1993, SEC.200; P.L.5-1993, SEC.213; P.L.24-1997, SEC.55; P.L.272-1999, SEC.45; P.L.141-2006, SEC.65; P.L.99-2007, SEC.117; P.L.122-2026, SEC.72.
- (a) This section applies to an individual who has a primary diagnosis of developmental disability.
- (b) Action contemplated by a patient under this section includes action by the patient's parent or guardian if the patient is not competent.
- (c) If a patient is admitted to a state institution, the staff of the state institution shall, before the patient is discharged, ask the patient whether the patient's medical and treatment records may be sent to a service coordinator employed by the division of disability, aging, and rehabilitative services under IC 12-11-2.1 so the service coordinator may send the records to local agencies serving the needs of individuals with a developmental disability in the area in which the patient will reside.
- (d) If a patient agrees to release the records, the patient shall sign a form permitting the state institution to release to a service coordinator employed by the division of disability, aging, and rehabilitative services under IC 12-11-2.1 a copy of the patient's medical and treatment records to forward to local agencies serving the needs of individuals with a developmental disability in the area in which the patient will reside. The form must read substantially as follows:
| AUTHORIZATION TO RELEASE |
|---|
| MEDICAL AND TREATMENT |
| RECORDS |
| I agree to permit ________________________________ |
| (name of state institution) |
| to release a copy of the medical and treatment records of |
| __________________ | to _________________________ |
| (patient's name) | (name of local agency |
| | serving the needs of |
| | individuals with a developmental disability) |
| ______________ | ___________________________ |
| (date) | (signature) |
| | ___________________________ |
| | (address) |
| __________________ | ___________________________ |
| (signature of individual | (relationship to patient if |
| securing release of | signature is not that of the |
| medical and treatment | patient) |
| records) |
(e) If a patient knowingly signs the form for the release of medical records under subsection (d), a service coordinator employed by the division of disability, aging, and rehabilitative services under IC 12-11-2.1 shall allow local agencies serving the needs of individuals with a developmental disability in the area in which the patient will reside to obtain the following:
- (1) The patient's name.
- (2) The address of the patient's intended residence.
- (3) The patient's medical records.
- (4) A complete description of the treatment the patient was receiving at the state institution at the time of the patient's discharge.
- (f) If the local agency does not obtain a patient's records, the state institution shall deliver the medical records to the local agency before or at the time the patient is discharged.
(g) If a patient does not agree to permit the release of the patient's medical and treatment records, the service coordinator shall deliver:
- (1) the patient's name; and
(2) the address of the patient's intended residence;
to local agencies serving the needs of individuals with a developmental disability in the area in which the patient will reside before or at the time the patient is discharged.
[Pre-1992 Revision Citation: 16-14-28-1(b).]
As added by P.L.2-1992, SEC.18. Amended by P.L.4-1993, SEC.200; P.L.5-1993, SEC.213; P.L.24-1997, SEC.55; P.L.272-1999, SEC.45; P.L.141-2006, SEC.65; P.L.99-2007, SEC.117; P.L.122-2026, SEC.72.