New York Codes, Rules and Regulations (NYCRR)
Title 9 Part 8011
Executive Department
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9 NYCRR 8011.1 - Purpose
Source version current through May 15, 2022
Later State Register activity may affect this section.
Dates and status
- NYCRR title agency
- Executive Department
- Section status
- Section source receipt
- Source version current through
- May 15, 2022
It is the responsibility and the intent of the division to adopt regulations pursuant to the HIV- and AIDS-Related Information Act (Public Health Law, article 27-F). All officers, employees, and agents of the division shall at all times maintain the confidentiality of any HIV-related information in their possession, in accordance with the requirements of the statute and this Part.
9 NYCRR 8011.2 - Definitions
Source version current through May 15, 2022
Later State Register activity may affect this section.
Dates and status
- NYCRR title agency
- Executive Department
- Section status
- Section source receipt
- Source version current through
- May 15, 2022
When used in this Part:
Authorization for Release of Confidential HIV* Related Information
Confidential HIV-Related Information is any information indicating that a person had an HIV-related test, or has HIV infection, HIV-related illness, or AIDS, or any information which could indicate that a person has been potentially exposed to HIV.
Under New York State Law, except for certain people, confidential HIV-related information can only be given to persons you allow to have it by signing a release. You can ask for a list of people who can be given confidential HIV-related information without a release form.
If you sign this form, HIV-related information can be given to the people listed on the form, and for the reason(s) listed on the form. You do not have to sign the form, and you can change your mind at any time.
If you experience discrimination because of release of HIV related information, you may contact the New York State Division of Human Rights at (212) 870-8624 or the New York City Commission of Human Rights at (212) 566-5493. These agencies are responsible for protecting your rights.
Name of person whose HIV-related information will be released:
Name and address of person signing this form (of other than above):
Relationship to person whose HIV information will be released:
Reason for release of HIV-related information:
Time during which release is authorized:
From:
To:
My questions about this form have been answered. I know that I do not have to allow release of HIV- related information, and that I can change my mind at any time.
Date Signature
Division of Parole
Form 4136
9 NYCRR 8011.3 - Antidiscrimination
Source version current through May 15, 2022
Later State Register activity may affect this section.
Dates and status
- NYCRR title agency
- Executive Department
- Section status
- Section source receipt
- Source version current through
- May 15, 2022
9 NYCRR 8011.4 - Access to confidential HIV-related information
Source version current through May 15, 2022
Later State Register activity may affect this section.
Dates and status
- NYCRR title agency
- Executive Department
- Section status
- Section source receipt
- Source version current through
- May 15, 2022
The following employees of the division are considered authorized employees who may have access to confidential HIV-related information on a need to know basis, as set forth in this section.
9 NYCRR 8011.5 - Confidentiality
Source version current through Oct 31, 2022
Later State Register activity may affect this section.
Dates and status
- NYCRR title agency
- Executive Department
- Section status
- Section source receipt
- Source version current through
- Oct 31, 2022
NEW YORK STATE
DIVISION OF PAROLE
This information has been disclosed to you from confidential records which are protected by state law. State law prohibits you from making any further disclosures of this information without specific written consent of the person to whom it pertains, or as otherwise permitted by law. Any unauthorized further disclosure in violation of state law may result in a fine or jail sentence or both. A general authorization for the release of medical or other information is not sufficient authorization for further disclosure.
9 NYCRR 8011.6 - Records control
Source version current through May 15, 2022
Later State Register activity may affect this section.
Dates and status
- NYCRR title agency
- Executive Department
- Section status
- Section source receipt
- Source version current through
- May 15, 2022
9 NYCRR 8011.7 - Provision of confidential HIV-related information to authorized officers and employees of the division
Source version current through May 15, 2022
Later State Register activity may affect this section.
Dates and status
- NYCRR title agency
- Executive Department
- Section status
- Section source receipt
- Source version current through
- May 15, 2022
9 NYCRR 8011.8 - Protecting contacts when there is a significant risk of contracting or transmitting HIV infection
Source version current through May 15, 2022
Later State Register activity may affect this section.
Dates and status
- NYCRR title agency
- Executive Department
- Section status
- Section source receipt
- Source version current through
- May 15, 2022
9 NYCRR 8011.9 - Severability
Source version current through May 15, 2022
Later State Register activity may affect this section.
Dates and status
- NYCRR title agency
- Executive Department
- Section status
- Section source receipt
- Source version current through
- May 15, 2022
If any provision of this Part or the application thereof to any person or circumstance is judged invalid by a court of competent jurisdiction, such judgment shall not affect or impair the validity of the other provisions of this Part or the application thereof to other persons and circumstances.