Section 12-24-11-2 - Patient with developmental disability; release to local agency serving such needs in residing area; authorization; form; requisites(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 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 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 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: (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.