Order (HIPAA Records Release) {CCJP 0634}

CCJP 0634 - ORDER. This form issued by the Circuit Court of Cook County, Illinois, within the Department of Juvenile Justice and Child Protection, Child Protection Division. It is used in cases involving minors who are the subject of juvenile court proceedings. The order directs a treatment provider or agency to release all records related to the minor’s treatment—including reports, data notes, x-rays, toxicology reports, and other documents—to the Cook County Public Guardian's Office. This release is authorized under state and federal laws, including HIPAA, and is intended solely for use in the pending juvenile court case. The order emphasizes that the information is to remain confidential and is limited to parties involved in the case who have a legitimate need to access it. It also affirms that the release is necessary for investigating abuse, neglect, or dependency, and that the need for disclosure outweighs any potential harm to the minor or the physician-patient relationship. The order is valid only for the duration of the court proceedings and expires once the case is closed. www.FormsWorkflow.com