General hippa release

Sent from my iPhone

On Feb 19, 2016, at 13:56, Mora, Jennifer <JMora@stohosp.com> wrote:

Hi,

 

I recently had a situation in which I was asked to get authorization from an employee to speak to her primary MD in regards to her mental health.  She had reported to her manager that she was having trouble with anxiety and had recently had some medication changes that resulted in her inability to function fully at work.  She was sent home by the manager because she was not fit for duty.    The manager requested that I follow up with her primary MD to get more information on when she would be fit to return to work.   Do you use a special authorization form to get authorization from the employee?  Or do you use a general release of information for the employee to give authorization to speak to their MD?

 

Thank you for your time,

 

Jen

Jennifer Mora MSN, RN

Business Health and Wellness Coordinator

Stoughton Hospital

900 Ridge Street

Stoughton, WI 53589

 

Office 608-873-2204

Cell      608-235-4239

 



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