Authorization for release of protected health information as required by the health insurance portability and accountability act of 1996. This sample policy sets forth the procedures for responding to potential breaches of protected health information. Sections of the template include ethics, disciplinary actions, respect, property use, and more. The purpose of this policy is to establish the standards and criteria for the appropriate use of copy/paste, copy forward, “recent” button (cloning) and note templates within the electronic. Policy template to determine health care organizations’ legal health records and to ensure integrity for legal and business purposes.