Please make a consent to release form with the information filled in the blanks. Thanks

* CCG gnments > Chapter 5 Assignment: Create a Consent Form Chapter 5 Assignment: Create a Consent Form Due Sep 18 by 11:59pm Points 20 Submitting a file upload Available Sep 12 at 12am - Sep 18 at 11:59pm This assignment was locked Sep 18 at 11:59pm. Privacy and confidentiality are the utmost priority in healthcare today. It can be a tricky path to navigate when a patient's records or a part of their records need to be transferred for any reason. As the health care professional, it is your duty to ensure that all privacy and confidentiality safeguards are in place and adhered to. One way to eliminate information being released illegally is to have patients sign a "Consent to Release Information" form each time pertinent information leaves the medical office for reasons other than every day billing and mandatory reporting. This week, you will create a generic "Consent to belease Information" form for a health care facility. This should be transferring information from one from one provider to another, not to family members. Make sure to include all of the information discussed in this chapter. Remember, when transferring patient information, it is better to be overprotective than not protective enough. Use the Internet to view examples of what may or not be added to the form. Refer to your PowerPoint for the minimum requirements needed for a Release of Information form. This must be created from scratch, do not simply copy and paste a form that you may find on the Internet. This will be checked by Turnitin. Your form should be no longer than 1 page. Chapter 5 Assignment Ratings Pts Criteria 10 pts 5 pts 0 pts 10 pts Form has all necessary information Full Marks Fair No Marks 5 pts 0 pts 10 pts 10 pt Form is original. No plagiarism. No Marks Full Marks Fair Total Points: 20 9 M O D C