TX HHS Form 3222. Confidentiality of Patient Records

The TX HHS Form 3222, Confidentiality of Patient Records, is a crucial document that helps healthcare facilities maintain the confidentiality and security of patient records. This form ensures compliance with federal regulations and state laws regarding the handling and retention of patient identifying information.

This form requires facility-specific information, including the Facility Name, Address, and License No. It also outlines HHSC's responsibilities when copying, removing, downloading, or forwarding patient records. Specifically, HHSC will maintain and destroy patient identifying information in a manner consistent with established policies and procedures, retain records in compliance with applicable laws, and comply with limitations on disclosure and use of patient identifying information.

The TX HHS Form 3222 is essential for healthcare facilities to ensure the confidentiality and security of patient records. It should be used whenever copying, removing, downloading, or forwarding patient records, as defined in 42 CFR §2.11. By completing this form, facilities can demonstrate compliance with federal regulations and state laws, thereby protecting patients' sensitive information.