Recovery Facility

Accounting of Disclosures (45 CFR §164.528)

Resident: Resident 04
Reporting period: Mon, Aug 24, 2026 to Thu, Oct 8, 2026 (all entries on record)
Generated: Fri, Oct 9, 2026, 11:40 AM

Notice to accompany disclosure — 42 CFR §2.32(a)

This record which has been disclosed to you is protected by Federal confidentiality rules (42 CFR part 2). These rules prohibit you from using or disclosing this record, or testimony that describes the information contained in this record, in any civil, criminal, administrative, or legislative proceedings by any Federal, State, or local authority, against the patient, unless authorized by the consent of the patient, except as provided at 42 CFR 2.12(c)(5) or as authorized by a court in accordance with 42 CFR 2.64 or 2.65. In addition, the Federal rules prohibit you from making any other use or disclosure of this record unless at least one of the following applies: (i) Further use or disclosure is expressly permitted by the written consent of the individual whose information is being disclosed in this record or as otherwise permitted by 42 CFR part 2. (ii) You are a covered entity or business associate and have received the record for treatment, payment, or health care operations, or (iii) You have received the record from a covered entity or business associate as permitted by 45 CFR part 164, subparts A and E. A general authorization for the release of medical or other information is NOT sufficient to meet the required elements of written consent to further use or redisclose the record (see 42 CFR 2.31).

Consent accompanying this disclosure — 42 CFR §2.32(b)

Required by 42 CFR §2.32(b): this disclosure is made under the patient’s written consent, signed and held by the program. The scope of that consent is set out in full below.

Audit chain verified through entry 148 (148 entries).

"Facility-wide" entries are disclosures of the whole facility record, such as a backup, that included this resident. They do not mean this record was opened on its own.

When	Disclosure	Scope	By	Record	Details
Mon, Aug 24, 2026, 10:10 AM	Full-record read	Facility-wide	Avery Admin	Full facility record
Tue, Sep 1, 2026, 10:05 AM	Consent captured (record management — not a disclosure)	This resident	Avery Admin	Consent
Fri, Sep 18, 2026, 11:30 AM	Record update	Facility-wide	Avery Admin	Facility record changes
Fri, Oct 2, 2026, 10:10 AM	Report generated for disclosure	This resident	Avery Admin	Printed report	Report: Weekly accountability report. Period: 2026-W40. Released to: Example County Probation. Purpose: Court-ordered progress reporting
Mon, Oct 5, 2026, 9:00 AM	Internal print recorded (not a disclosure)	This resident	Avery Admin	Printed report	Report: Medication administration record. Period: 2026-10. Internal use, not released outside the program
Thu, Oct 8, 2026, 8:30 AM	Report generated for disclosure	This resident	Avery Admin	Printed report	Report: Resident summary report. Period: 2026-08-24..2026-10-08. Released to: not recorded. Purpose: not recorded

Resident record

Resident 04

Profile

Rules and history

Records and the resident

Leaving

Accounting of Disclosures (45 CFR §164.528)