What form must be obtained for use and disclosure of protected health information?

To use and disclose protected health information (PHI), a covered entity must obtain a signed authorization form from the individual whose information is being shared. This authorization must specify the information to be disclosed, the purpose of the disclosure, and the parties involved. It should also inform the individual of their right to revoke the authorization at any time. Compliance with the Health Insurance Portability and Accountability Act (HIPAA) is essential to ensure the protection of PHI during such disclosures.