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When can confidential patient information be legally released by the EMT?

  1. A police officer requests a copy.

  2. The family requests a copy for insurance purposes.

  3. A media representative inquires about the patient.

  4. The patient is competent and signs a release form.

The correct answer is: The patient is competent and signs a release form.

Confidential patient information can be legally released when the patient is competent and provides their consent by signing a release form. This is rooted in the principles of patient autonomy and confidentiality in healthcare. When a patient is deemed competent, they have the right to make decisions about their own medical information, including what can be shared and with whom. This process of obtaining a signed release form is essential in ensuring that the patient's wishes are respected, and it also protects the healthcare provider from legal repercussions related to breaches of confidentiality. In scenarios such as a police officer requesting information, a family member asking for details for insurance purposes, or inquiries from the media, the release of information without the patient’s explicit consent would typically violate privacy laws and regulations, including HIPAA (Health Insurance Portability and Accountability Act) in the United States. Thus, in these situations, appropriate legal or institutional protocols must be followed to protect the patient's rights.