UNITED STATES DISTRICT COURT
FOR THE NORTHERN DISTRICT OF ALABAMA
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QUALIFIED HIPAA PROTECTIVE ORDER
The parties are hereby GRANTED the right, upon compliance with the applicable
discovery provisions of the Federal Rules of Civil Procedure and the orders of this court, to obtain
from any health care provider, health plan, or other entity covered by the Health Insurance
Portability and Accountability Act of 1996, Pub. L. No. 104-191, 110 Stat. 1936 (1996)
("HIPAA"), any and all information relating to the past, present, or future medical condition of
any individual who is a party to this action (or the decedent or ward of a party who sues in a
representative capacity), as well as any and all information relating to the provision of health care
to such individual and payment for the provision of such health care.
This Order authorizes any third-party who is provided with a subpoena requesting the
production of documents or commanding attendance at deposition or trial to disclose the Protected
Health Information in response to such request or subpoena. This order is intended to authorize
such disclosures under the privacy regulations issued pursuant to HIPAA. 45 C.F.R. §
164.512(e)(1)(i). The parties are EXPRESSLY PROHIBITED from using or disclosing the
protected health information obtained pursuant to this order for any purpose other than this action.
Further, the parties are ORDERED to either return to the covered entity from whom or which
such protected health information was obtained, or to destroy the protected health information
(including all copies made), immediately upon conclusion of this action. See 45 C.F.R. §§
164.502(b); 164.512(e)(1)(v).
DONE this ____ day of _______________.
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