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the requestor to verify the patient's name, date of birth, SSN, address and telephone <br /> number over the phone and ask the requestor to submit the "Request for Access to <br /> Protected Health Information Form" via email, mail or fax. <br /> 4. Upon receipt of the completed "Request for Access to Protected Health Information <br /> Form" and verification of the requestor's identity, the HIPAA Compliance Officer will act <br /> upon the request within 30 days, preferably sooner. Generally, North State Medical <br /> Transport must respond to requests for access to PHI within 30 days of receipt of the <br /> access request. <br /> 5. If North State Medical Transport is unable to respond to the request within these time <br /> frames, the requestor must be given a written notice no later than the initial due date <br /> for a response, explaining why North State Medical Transport coul not respond within <br /> the time frame, and in that case North State Medical Transport may extend the <br /> response time by an additional 30 days. <br /> Requests for Access from the Patient's Attorney <br /> 1. If North State Medical Transport receives a request for a patient's PHI from the patient's <br /> attorney, the HIPAA Compliance Officer shall verify that the patient has authorized the <br /> release of PHI. Generally, the request should be accompanied by a form or letter, <br /> signed by the patient, stating that the patient authorizes the release of the requested <br /> PHI to the attorney. If there isa signed form or letter from the patient authorizing the <br /> release of the PHI requested (or some other valid authorization from the patient), then <br /> the HIPAA Compliance Officer may release the PHI to the attorney in accordance with <br /> what the authorization states. <br /> Z. If the request from the patient's attorney is not accompanied by a signed request form <br /> or letter from the patient (or some other valid patient authorization), the HIPAA <br /> Compliance Officer shall contact the attorney and inform the attorney that North State <br /> Medical Transport will not release the information without valid authorization from the <br /> patient. North State Medical Transport shall not release any PHI to the attorney until <br /> the patient authorizes the release. <br /> Approval of a Request for Access <br /> 1. Upon approval of access,the patient or authorized representative should generally be <br /> provided the right of access in the manner requested on the Form. North State Medical <br /> Transport will either provide a copy of the PHI to the requestor in the format requested <br /> or arrange for a convenient time for the patient to come into North State Medical <br /> Transport to copy their PHI. If North State Medical Transport uses or maintains the PHI <br /> requested electronically, North State Medical Transport will provide a copy of the PHI in <br /> an electronic format if the patient or authorized representative requests an electronic <br /> copy. North State Medical Transport will also transmit a copy of the PHI directly to an <br />