You are about to request access to sensitive patient information and in doing so you are attesting that you have authorization from the patient or healthcare provider treating the patient to have access to patient information. By clicking “SUBMIT REQUEST” below you agree to abide by Federal and State regulations that govern the release of patient identifiable information by hospitals and health care providers as well as regulations that govern the acquisition and sue of data that pertains to patients and individuals. These include the Federal Health Insurance Portability Accountability Act (HIPAA) Privacy Law, the Confidentiality of Medical Information Act (California Civil Code - 56 et seq.), the Lanterman-Petris-Short Act (California Welfare & Institutions Code - 5000 et seq.) and the State Information Practices Act (California Civil Code sections 1798 et seq.). All of these laws establish protections to preserve the confidentiality of medical and personal information and specify that such information may not be disclosed except as authorized by law or the patient and such disclosure may subject you to legal and/or disciplinary action. By clicking “SUBMIT REQUEST” below you further agree 1) that it is your legal and ethical responsibility to maintain all patient information as confidential and only discuss or disseminated it as required by your specific duties and as authorized for patient care, risk management and/or peer review activities; 2) that you will not share your personal access codes and safeguard them and patient information from discovery by others; and 3) that you will immediately report to StatRad and your supervisor any suspected violation of this policy or compromise of patient information.