Application Forms

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Applying for Access and Use of Individually Identifiable Health Information

Application Forms

Select the application form that best meets the needs of your use. Contact the Medical Archives staff if you have questions or need additional information in selecting a form to submit.

Federal and State Legal Codes that Protect Health Information

The holdings of the Medical Archives are subject to the HIPAA Privacy Rule (2013) and Maryland Health Code 4-302 (2013).