(a) A covered entity may deliver a request for authorization and an authorization form to a consumer as required by this subchapter:
  (1) separately; or
  (2) along with a policy, billing, an opt-out notice pursuant to Subchapter A of this chapter, or other written communication, provided that the request for authorization and the authorization form:
    (A) are clear and conspicuous,
    (B) are separate in content from any other accompanying written communication, and
    (C) require a separate signature on a signature line that is not a part of any signature line relating to any of the other accompanying written communication.
(b) A covered entity is not required to deliver, or include in any other communications, an authorization form to the consumer unless the covered entity intends to disclose protected health information pursuant to §22.53 of this subchapter (relating to Authorization Required for Disclosure of Nonpublic Personal Health Information).
(c) A covered entity must receive an authorization prior to making any disclosures pursuant to that authorization.

Source Note: The provisions of this §22.55 adopted to be effective September 1, 2002, 27 TexReg 6504