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94 | P a g e October 25 RESPONSIBILITY ACTION recipient denied permission for such release. 6. B. If Permission Is Granted – Send information to requestor, along with a notification of the confidentiality of the information and the penalty for misuse of such information (Attach copy of LIHEAP 100-17, "Misuse of Low-Income Home Energy Assistance Program (LIHEAP) Information").

PROCESSING REQUESTS FOR SAFEGUARDED MEDICAL INFORMATION – If request is by applicant or recipient, follow this procedure, but skip from step 6A to step 8B.

RESPONSIBILITY ACTION Field Monitor 1. Acknowledge receipt of request, indicating that request has been forwarded to the Office of Legal Affairs. 2. Send a request to the Office of Legal Affairs. Office of Legal Affairs 3. Determine whether request is "proper" and inform Administrator or Designee of the results of this determination. Field Monitor 4. A. If Request Is Not "Proper" – Inform the requestor of the information that the request is not "Proper," the reasons why, and that the information will not be released. 4. B. If Request Is "Proper" – Request attending physician's or psychologist's permission to release the desired information. Applicant or Recipient or Psychologist 5. Grants or denies permission to release the requested information. If permission is granted, include in the authorization a statement that release of information will not cause medical or psychological harm to the applicant or recipient. Field Monitor 6. A. If Permission Is Denied – Inform the requestor that the information cannot be released because the attending physician or psychologist denied permission for such release. 6. B. If Permission Is Granted – Request applicant's or recipient's permission to release desired information. Applicant or Recipient 7. Grants or denies permission to release requested information Field Monitor 8. A. If Permission Is Denied – Inform the requestor that the information cannot be released because, though the attending physician or psychologist granted permission to release such information, the applicant or recipient himself did not. 8. B. If Permission Is Granted – Send information to requestor, along with a notification of the confidentiality of the information and the penalty for misuse of such information (See 5.16 Misuse of Low-Income Home Energy Assistance Program (LIHEAP) Information).