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entity or person designated by the patient or authorized representative, provided that <br /> the written direction is signed and clearly identifies the designated party. <br /> 2. North State Medical Transport will establish a reasonable charge for copying PHI for the <br /> patient or authorized representative in accordance with federal and state laws. The fee <br /> for providing an electronic copy of PHI shall not be greater tha North State Medical <br /> Transport's labor costs in responding to the request for the copy. The HIPAA <br /> Compliance Officer shall consult with legal counsel regarding applicable laws regarding <br /> fee limitations. <br /> 3. The requestor will not be given access to the actual files or systems that contain the <br /> DRS. Rather, copies of the records shall be provided for the patient or requestor to view <br /> in a confidential area under the direct supervision of a designated Company staff <br /> member. UNDER NO CIRCUMSTANCES SHOULD ORIGINALS OF PHI LEAVE THE <br /> PREMISES. <br /> 4. Whenever a patient or requestor accesses a DRS, a note should be maintained in a log <br /> book indicating the time and date of the request,the date access was provided, what <br /> specific records were provided for review, and what copies were left with the patient or <br /> requestor. <br /> Denial of a Request for Access <br /> 1. If the request for access is denied,the HIPAA Compliance Officer shall send the <br /> requestor a "Denial of Request for Access to Protected Health Information Form," <br /> outlining the reason for the denial and explaining the individual's rights regarding the <br /> denial. Patient access may be denied for the reasons listed below: <br /> a. If the information the patient requested was compiled in reasonable anticipation of, <br /> or use in, a civil, criminal or administrative action or proceeding; <br /> b. If the information the patient requested was obtained from someone other than a <br /> healthcare provider under a promise of confidentiality and the access requested <br /> would be reasonably likely to reveal the source of the information, <br /> c. If a licensed healthcare professional has determined, in the exercise of professional <br /> judgment, that the access requested is reasonably likely to endanger the life or <br /> physical safety of the individual or another person; <br /> d. If the PHI makes reference to another person (other than a healthcare provider) and <br /> a licensed health professional has determined, in the exercise of professional <br /> judgment,that the access requested is reasonably likely to cause substantial harm to <br /> that person, or <br />