TX HHS Form 8628. Acknowledgement of Ombudsman Access to Confidential Record

TX HHS Form 8628. Acknowledgement of Ombudsman Access to Confidential Record

The TX HHS Form 8628, Acknowledgement of Ombudsman Access to Confidential Record, is a crucial document that facilitates the sharing of confidential resident information between certified ombudsmen or the State Ombudsman and long-term care facilities. This form helps resolve issues related to access and confidentiality by providing a standardized framework for authorized parties to obtain and utilize resident records.

This form is typically used in situations where a certified ombudsman or State Ombudsman requests access to confidential records about a resident, as specified in 26 TAC Section 554.413 or 26 TAC Section 553.269. The form requires the ombudsman to provide information such as consent from the resident or their legally authorized representative (LAR), and specify the type of record being accessed.

The TX HHS Form 8628 emphasizes the importance of confidentiality in handling resident records, stating that accessed records are protected under applicable laws. The form also highlights the responsibility of long-term care facilities to allow certified ombudsmen and the State Ombudsman access to resident information and records as per state rules.

  • The form is used by certified ombudsmen or the State Ombudsman to request access to confidential resident records.
  • The form requires consent from the resident or their LAR for access to certain types of records.
  • The form emphasizes the importance of confidentiality in handling resident records and highlights the responsibility of long-term care facilities to allow authorized parties access to resident information and records.
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https://www.hhs.texas.gov/regulations/forms/8000-8999/form-8628-acknowledgement-ombudsman-access-confidential-record