Form C-3.3 - Limited Release Of Health Information
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1C-3.3
Limited Release of Health Information
(HIPAA)
State of New York - Workers' Compensation Board
WCB Case No. (if you know it):___________________________
To Claimant: If you received treatment for a previous injury to the same body part or for an illness similar to the one described in your current
Claim, fill out this form. This form allows the health care providers you list below to release health care information about your previous injury/
illness to your employer's workers' compensation insurer. The federal HIPAA law (Health Insurance Portability and Accountability Act of 1996)
says you have a right to get a copy of this form. If you do not understand this form, talk to your legal representative. If you do not have a legal
representative, the Advocate for Injured Workers at the Workers' Compensation Board can help you. Call: 800-580-6665.
To Health Care Provider: A copy of this HIPAA-compliant release allows you to disclose health information. If you send records to the
employer's workers' compensation insurer in response to this release, also mail copies to the Claimant's legal representative. (If no legal
representative is listed below, send copies to the Claimant.) Health care providers who release records must follow New York state law and
HIPAA.
This release is:
This form does NOT allow your health care provider(s)
Voluntary. Your health care provider(s) must give you the same care,
to release the following types of information:
payment terms, and benefits, whether you sign this form or not.
Limited. It gives your health care provider(s) permission to release only
HIV-related information
those health records that are related to the previous illness/condition you
describe below.
Psychotherapy notes
Temporary. It ends when your current claim for compensation is established
or disallowed and all appeals are exhausted.
Revocable. You can cancel this release at any time. To cancel, send a letter
Alcohol/Drug treatment
to the health care provider(s) listed on this form. Also, send a copy of your
letter to your employer's workers' compensation insurer and the Workers'
Mental Health treatment (unless you check below)
Compensation Board. Note: You may not cancel this release with respect to
medical records already provided.
Verbal information (your health care providers may
For records only. It gives your health care provider(s) listed on this form
not discuss your health care information with anyone)
permission to send copies of your health care records to your employer's
workers' compensation insurer.
Any medical records released will become part of your workers' compensation file and are confidential under the Workers' Compensation Law.
A. YOUR INFORMATION (Claimant)
1. Name:__________________________________________________________________ 2. Social Security Number:______-_____-______
3. Mailing Address: _________________________________________________________________________________________________
4. Date of Birth: ______/______/______ 5. Date of the current injury/illness: ______/_______/_______
6. Current injury/illness, including all body parts injured:_____________________________________________________________________
______________________________________________________________________________________________________________
7. Your legal representative's name and address (if any):___________________________________________________________________
______________________________________________________________________________________________________________
Check here if you allow your health care provider(s) to release mental health care information.
B. YOUR HEALTH CARE PROVIDER(S)
(List all health care providers who treated you for a previous injury to the same body part or similar
illness. If more than 2 providers attach their contact information to this form.)
1. Provider:__________________________________________________________________ 2. Phone Number: (______)_______________
3. Mailing Address: _________________________________________________________________________________________________
4. Other provider (if any):_______________________________________________________ 5. Phone Number: (______)_______________
6. Mailing Address:_________________________________________________________________________________________________
C. READ AND SIGN BELOW.
I hereby request that the health care provider(s) listed above give my employer's workers' compensation
insurer copies of all health records related to any previous injury/illness, to all body parts, described above.
____________________________________________________________________________________________________________
Claimant's signature (ink only -- use blue ballpoint pen, if possible.)
Date
If the claimant is unable to sign, the person signing on his/her behalf must fill out and sign below:
______________________________________________________________________________________________________________
Your name
Relationship to Claimant
Signature (ink only -- use blue ballpoint pen, if possible.)
Date
Versión en español al reverso de la forma.
C-3.3 (12-09)
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