Statutes, codes, and regulations
Mississippi Administrative Code
Title 32 - Rehabilitation And DisabilitiesPart 22 - Office of Vocational Rehabilitation for the Blind, Resource GuideSection 32-22-3.10 - HOSPITAL REHABILITATION CENTERS & OTHER HOSPITAL SERVICES
Section 32-22-3.10.1 - Hospital Rehabilitation Centers
Section 32-22-3.10.1.4 - HRC Medical Information Requests

32 Miss. Code. R. 22-3.10.1.4

Download
PDF
Current through December 10, 2024
Section 32-22-3.10.1.4 - HRC Medical Information Requests

To obtain medical records from one of the Hospital Rehabilitation Centers (HRC), send to the liaison counselor Consent to Disclose Information (MDRS-VR-19) form, which will contain the following:

* Client's medical record number

* Full name

* Address

* Date of birth

* Social Security number

* Date(s) of the medical report(s) being requested

UNDER NO CIRCUMSTANCES SHOULD CLIENT CONSENT TO DISCLOSE FORM BE SENT DIRECTLY TO THE HRC. SEND ONLY TO THE LIAISON COUNSELOR.

32 Miss. Code. R. 22-3.10.1.4