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Utah Attorney General
Attorney General
Sean D. Reyes
Utah Office of the Attorney General
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Attorney General HIPAA Task Force

The Attorney General HIPAA Task Force is a workgroup comprised of law enforcement, private and public representatives involved with health care in Utah. The Task Force collaborated in developing the following material.

Law Enforcement Access to Private Health Information

Utah Authorization to Disclose Health Records to a Law Enforcement Agency
This is a standard law enforcement specific authorization form.  Access to private health information using a proper authorization is the easiest and fastest way to obtain documents. You are encouraged to use the standard authorization form whenever possible.


Certification of Authority for Arrest of Patient by Law Enforcement
This is a standard release of suspect authorization form. You are encouraged to use the standard authorization form whenever possible.


Guidance on Disclosures of Protected Health Information to Law Enforcement
This is an outline of the applicable laws governing law enforcement’s access to private health information under the federal HIPAA privacy law and related federal and state laws. This information may assist law enforcement officials to expeditiously access private health care information from health care entities in Utah.

Medical Clearance Form
This is a standard medical clearance form. A health care provider may disclose to a competent authority that a detainee is cleared for incarceration.

Authorization to Release Information to the Division of Child and Family Services (DCFS)
An individual may sign this form to authorize a health care provider to release protected health information to DCFS.


This guidance discusses how government entities may comply with both GRAMA and HIPAA.


This is a sample business associate agreement template published by the Office of Civil Rights.
Guidance on Release of Minor’s PHI

This is a guidance on when and to whom a minor’s personal health information may be disclosed.

General HIPAA and Consumer Information

Department of Health and Human Services, Office of Civil Rights:
Centers for Medicare and Medicaid Services:

Contact Us: If you have questions, please contact us by e-mail.

The information contained in documents posted on this website were developed as a joint venture of private and public entities. They are intended for general information purposes only.  The authors and compilers of these documents have attempted to assure the information is current and accurate as of the date of the publications; however, no guarantee of accuracy or warranties of any kind are made. Users of this information are cautioned to review and update their implementation and application practices when federal and state privacy laws are amended or new ones are adopted. The information provided does not constitute the rendering of legal or other professional advice by any individuals or entities associated with the Task Force. Independent legal counsel should be consulted regarding compliance with the requirements of the HIPAA. The information is subject to change without notice.

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