SESK: Stuff Everyone Should Know · sesk.info/hipaa-confidential-communications
A patient asks the clinic to call a cell phone instead of the home phone. Can the clinic demand a reason?
No, a provider can't require an explanation.
- Yes, a reason is always required
- No, the provider can't require an explanation ✔
- Only if the patient is a minor
Why: Providers must accommodate reasonable requests to receive communications by other means or at other places. They may ask for the request in writing, but not why.
Huh, didn't know that: Health plans must accommodate these requests when the person says disclosure could endanger them.
Why did the phone wear glasses? To improve its call vision.
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References
Answer: No, the provider can't require an explanation. Providers must accommodate reasonable requests to receive communications by other means or at other places. They may ask for the request in writing, but not why.
- 45 CFR 164.522 (eCFR) www.ecfr.gov/current/title-45/subtitle-A/subchapter-C/part-164/subpart-E/section-164.522
A covered health care provider may not require an explanation from the individual as to the basis for the request
Checked 2026-10-10. - 45 CFR 164.522 (eCFR) www.ecfr.gov/current/title-45/subtitle-A/subchapter-C/part-164/subpart-E/section-164.522
A covered entity may require the individual to make a request for a confidential communication described in paragraph (b)(1) of this section in writing.
Checked 2026-10-10. - 45 CFR 164.522 (eCFR) www.ecfr.gov/current/title-45/subtitle-A/subchapter-C/part-164/subpart-E/section-164.522
if the individual clearly states that the disclosure of all or part of that information could endanger the individual
Checked 2026-10-10.
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