HIPAA Authorizations Lawyer in Wildwood Lake, Tennessee

Complete Guide to HIPAA Authorizations for Wildwood Lake Residents

HIPAA authorizations are a key part of protecting health information while allowing necessary access during medical care and estate planning. This page explains how a HIPAA authorization works, why it matters for people in Wildwood Lake and nearby communities, and how proper documentation can help family members, agents, and health care providers coordinate care without unnecessary delays. We focus on clear, practical steps you can take to ensure your health records are accessible to those you trust when it matters most, and to reduce confusion during stressful times.

Many people do not realize that routine medical decisions and the ability to obtain records can be blocked without a properly completed HIPAA authorization. In estate planning and probate contexts, failing to put appropriate authorizations in place can complicate care transitions, delay benefits or legal processes, and create added stress for loved ones. This guide outlines what a HIPAA authorization typically covers, who can use it, when it should be updated, and how it fits into a broader estate plan so your wishes are honored and access to important health information is secured.

Why HIPAA Authorizations Matter for Your Health and Estate Plan

A properly executed HIPAA authorization gives designated people the legal ability to receive protected health information and interact with health care providers on your behalf. This can facilitate faster care coordination, smoother transitions between providers, and clearer communication during medical emergencies or ongoing treatment. In the context of estate planning, HIPAA authorizations work alongside powers of attorney and advance directives to ensure that your appointed decision makers have the information they need. The primary benefits include improved continuity of care, reduced administrative obstacles, and greater peace of mind for both you and your family members.

About Jay Johnson Law Firm and Our Approach to HIPAA Authorizations

Jay Johnson Law Firm assists residents of Wildwood Lake and surrounding Tennessee communities with practical estate planning solutions that include HIPAA authorizations. Our approach focuses on helping clients create clear, legally sound documents that work together to protect medical privacy and enable appropriate access. We combine careful document drafting with plain-language explanations so clients understand how each piece of their plan functions. If you want to ensure that health care providers will release information to your chosen representatives, we can help draft HIPAA authorizations tailored to your family situation and coordinate them with powers of attorney and advance directives.

Understanding HIPAA Authorizations and Their Role in Planning

A HIPAA authorization is a written document that permits health care providers and insurers to share protected health information with named individuals or organizations. Unlike general privacy notices, an authorization specifies what information may be shared, with whom, for what purpose, and for how long. Understanding these elements helps you control your health information while enabling trusted people to manage medical matters when you are unable to do so. Knowing when to use durable powers of attorney, advance directives, and HIPAA authorizations together makes a comprehensive approach more effective.

HIPAA authorizations can be tailored to allow access to specific types of records, such as mental health notes, substance abuse treatment records, or general medical histories, depending on your needs and comfort level. It is important to review these authorizations periodically and update them after major life events like marriage, divorce, or the death of a named recipient. Properly coordinating HIPAA authorizations with other estate planning documents reduces the chance of conflicting instructions and ensures that your primary health care decision makers can obtain the information necessary to act consistently with your preferences.

What a HIPAA Authorization Is and How It Works

A HIPAA authorization is a specifically worded consent form that allows the disclosure of protected health information by covered entities to third parties you designate. It must clearly identify the information to be disclosed, the individuals or entities authorized to receive it, and the intended purpose of the disclosure. The form should include an expiration date or event, and it must be voluntarily signed by the person whose records are at issue. Understanding the formal requirements and typical language used in these authorizations helps ensure they will be accepted by hospitals, clinics, insurers, and other entities that hold medical records.

Key Elements and Steps for Creating Effective Authorizations

When preparing a HIPAA authorization, include clear identification of the patient, the recipient, and the scope of records to be shared. Specify the purpose, whether it is for ongoing care coordination, legal matters, or review by family members. Determine the duration of the authorization and whether it is revocable at will. Once signed, provide copies to primary care providers, hospitals, and any specialists to minimize delays. Regularly review the document and replace it when your circumstances change to ensure it remains accurate and useful to those who must access your information.

Key Terms and Definitions Related to HIPAA Authorizations

Understanding common terms used with HIPAA authorizations helps you make informed choices. Terms include ‘protected health information,’ which refers to medical data that is linked to an individual; ‘covered entity,’ which means the health care providers and insurers that must follow HIPAA rules; and ‘authorization,’ the specific permission to disclose information. Becoming familiar with these concepts will help you draft clearer documents, ask the right questions of medical offices, and work with legal counsel when integrating HIPAA authorizations into a broader estate plan.

Protected Health Information (PHI)

Protected Health Information, commonly abbreviated PHI, includes any individually identifiable health information held or transmitted by covered entities or their business associates. PHI covers medical histories, test results, billing records, diagnoses, and treatment notes that can be linked to a specific person. HIPAA regulations limit how PHI can be used and shared without authorization, and a properly executed HIPAA authorization provides a legal basis for disclosure to specified parties. Knowing what PHI covers helps you decide which records should be accessible to your chosen representatives.

Covered Entity

A covered entity is an organization or person subject to HIPAA rules, typically including health plans, health care clearinghouses, and health care providers who electronically transmit health information. Covered entities are responsible for protecting the privacy and security of PHI and will only release information under narrow circumstances or with a valid HIPAA authorization. Identifying which providers or organizations in your care network are covered entities will help you understand whom to provide authorization copies to so that access requests are honored in a timely manner.

Authorization vs. Consent

An authorization is a specific document allowing disclosure of PHI to third parties for identified purposes, while consent can refer more broadly to agreeing to treatment or routine uses of information. Authorizations are often required for disclosures that are outside standard treatment, payment, or health care operations. Understanding the distinction ensures you use the correct document for your needs, whether you want to permit a family member to obtain records, allow an attorney to receive medical information for legal review, or enable a care manager to coordinate services.

Revocation and Expiration

HIPAA authorizations generally include a revocation clause and an expiration date or event. Revocation allows the patient to withdraw permission at any time in writing, subject to actions already taken based on the authorization. An expiration date defines when the authorization automatically ends, which can be a specific date or linked to an event like the conclusion of a legal case. Carefully choosing revocation language and terms of expiration helps you maintain control over who sees your health information and for how long.

Comparing HIPAA Authorizations with Other Legal Tools

HIPAA authorizations are one part of an overall plan to manage health information and decision making. Powers of attorney grant decision-making authority, while advance directives state treatment preferences. HIPAA authorizations differ because they specifically permit access to records and communications. Using these documents together ensures both access to information and the legal authority to make decisions. Comparing the scope and function of each document helps you choose the right combination to protect your privacy while enabling trusted individuals to act on your behalf when nursing, hospital, or insurance offices require proof of authorization.

When a Limited HIPAA Authorization May Be Enough:

Limited Access for Specific Transactions

A limited HIPAA authorization can be sufficient when you want to allow access only for a narrowly defined purpose, such as obtaining records for a single legal matter or allowing a caregiver to coordinate treatment during a discrete hospital stay. This approach minimizes the exposure of your medical history while still enabling necessary functions. It is often appropriate for short-term situations where ongoing access is not needed, and it can be written to expire after the event or upon completion of the necessary task.

Restricting Sensitive Information

Sometimes clients prefer to permit access to general medical records but exclude particularly sensitive categories like mental health treatment or substance use records. A limited authorization can specifically exclude or include categories of information, giving you granular control. This is useful when you trust someone to help with medication or appointments but are not comfortable sharing highly personal notes. Tailoring the scope helps maintain privacy while enabling practical assistance with routine health care needs.

Why a Comprehensive Approach to Authorizations and Planning Helps:

Long-Term Care and Ongoing Medical Management

A comprehensive approach is often needed when ongoing medical management or long-term care is likely, because continuity of access ensures caregivers and decision makers can obtain records and coordinate services without repeated paperwork. Combining HIPAA authorizations with durable powers of attorney, advance directives, and clear record distribution plans reduces the chance of gaps in communication during transitions between providers or levels of care. Planning ahead simplifies interactions with hospitals, specialists, and insurance carriers over time, making it easier for your designated representatives to act consistently with your wishes.

Complex Family or Medical Situations

When family dynamics are complex or when multiple professionals are involved in care, a comprehensive strategy helps prevent disputes and delays. Clear authorizations and coordinated legal documents define who can access records, who may make decisions, and how conflicts should be handled. This clarity helps reduce confusion and protects your interests by setting plain instructions for health care providers and institutions. Working through these details in advance can avoid the need for emergency legal steps during emotionally charged medical situations.

Benefits of Integrating HIPAA Authorizations into a Full Estate Plan

Integrating HIPAA authorizations into an overall estate plan provides consistent authority and access for the people you trust. It ensures that health care providers and insurers can share necessary records with your agents, avoiding delays that can impede treatment or benefits. When authorizations align with powers of attorney and advance directives, your representatives can both obtain information and act on it. The result is smoother care coordination, stronger protection of your privacy preferences, and reduced administrative friction for loved ones managing your affairs.

A coordinated approach also helps protect against unintended outcomes, such as unauthorized disclosures or disputes over who should receive medical information. By laying out clear permissions and instructions, you reduce the risk of conflicting interpretations by providers or family members. Regular reviews and updates of these documents ensure they remain in step with changes in family structure, health status, or state law, which maintains clarity for everyone involved and reinforces the effectiveness of your overall plan.

Improved Access and Continuity of Care

When HIPAA authorizations are coordinated with other legal documents, the people you designate can access records quickly and support continuity of care. This is particularly helpful during hospital admissions, transfers between facilities, and consultations with new specialists. Fast access to accurate medical histories, medications, and test results can lead to better informed decisions and fewer administrative obstacles. The improved communication enabled by proper authorizations reduces stress for caregivers and helps maintain a consistent course of treatment.

Reduced Administrative Burdens for Loved Ones

Clear HIPAA authorizations reduce paperwork and repeated verifications that family members often face during medical crises. With appropriate documentation in place, designated representatives can request records, speak with providers, and manage appointments without frequent delays. This practical benefit means loved ones can focus on care rather than administrative hurdles. Thoughtful document placement and distribution also prevent missed deadlines or lost forms that can otherwise prolong procedures or complicate legal and medical processes.

Jay Johnson Law firm Logo

Top Searched Keywords

Practical Tips for Managing HIPAA Authorizations

Keep Copies with Key Providers

Provide copies of your HIPAA authorization to primary care physicians, hospitals, and any specialists you see regularly so they have the documentation on file before an emergency occurs. Having the authorization on file reduces delays when your designated representative requests records or discusses treatment. Keep a dated copy in a secure location with other important documents and inform your nominated contacts where to find it. Regularly review whether the listed providers are current and send updated copies as needed when you change doctors or clinics.

Be Specific About Scope

When drafting an authorization, be explicit about which records may be released, the time period covered, and the named recipients. Specific language reduces misunderstandings and helps institutions process requests more quickly. Decide whether you want to permit ongoing access or only allow release for a defined purpose or limited time. Consider excluding certain sensitive categories if you prefer to restrict access to select parts of your medical history while allowing other information to be shared for care coordination.

Review and Update Regularly

Review your HIPAA authorizations at important life milestones such as marriage, divorce, relocation, or changes in health care providers. Updating your authorizations keeps them aligned with current relationships and your preferred representatives. Make sure revocations are documented in writing if you decide to withdraw permission from a previous designee, and distribute updated copies to providers. Keeping these documents current avoids confusion and ensures that the right people can access information when needed.

Reasons to Include HIPAA Authorizations in Your Plan

Including HIPAA authorizations in your estate plan ensures that trusted individuals can obtain medical records, speak with providers, and assist with care coordination when you cannot. These authorizations complement powers of attorney and living wills by granting access to information needed to implement decisions. Without them, loved ones may face delays or denials when attempting to obtain records, which can impede medical decision making. Establishing clear authorizations in advance prevents unnecessary barriers and helps family members act confidently on your behalf.

A HIPAA authorization also provides a mechanism to designate who may receive billing information, insurance communications, or detailed treatment notes. This can be especially valuable when coordinating care across multiple providers or dealing with complex chronic conditions. By specifying the scope and duration of access, you maintain control while giving your chosen representatives the tools they need to manage your health affairs. Planning ahead reduces stress for all parties and supports smoother interactions with health care systems.

Common Situations Where HIPAA Authorizations Are Helpful

HIPAA authorizations are commonly used when family members need to assist with medical care, when an attorney must obtain records for estate or disability planning, and when care managers coordinate services across providers. They are also useful for adults with chronic conditions who want a designated person to manage appointments and medications, and for individuals preparing for elective procedures where a caregiver will need access to post-operative records. In all these circumstances, carefully drafted authorizations help ensure timely access to essential information.

Hospital Admissions and Discharges

During hospital stays, timely access to records and clear communication between family members and medical staff are critical. A signed HIPAA authorization allows designated individuals to speak with care teams, obtain discharge instructions, and receive test results, which helps with effective transitions from hospital to home or rehabilitation. This reduces the likelihood of misunderstandings and supports smoother care coordination when multiple providers are involved in post-discharge planning.

Managing Long-Term Care

When long-term care is necessary, caregivers and appointed decision makers benefit from consistent access to medical records, medication lists, and treatment plans. A HIPAA authorization ensures that the information needed to coordinate care is available to those overseeing daily needs, appointments, and provider communications. This continuity of information supports better monitoring of health status and helps avoid errors that can occur when records are fragmented across multiple facilities or providers.

Legal and Insurance Matters

HIPAA authorizations are often required when attorneys or insurance representatives must review medical records for claims, appeals, or estate administration. A properly executed authorization streamlines the retrieval process and prevents unnecessary litigation over access to records. Ensuring that these authorizations are clear about the scope and purpose of disclosure helps legal and insurance professionals obtain the information they need without infringing on broader privacy concerns.

Jay Johnson

Local HIPAA Authorization Assistance in Wildwood Lake

Jay Johnson Law Firm serves Wildwood Lake and nearby Tennessee communities by helping residents prepare HIPAA authorizations that align with their broader estate plans. We provide guidance on what to include, how to limit or expand access, and how to coordinate authorizations with powers of attorney and advance directives. Our goal is to make the process straightforward so your chosen representatives can obtain necessary health information quickly, reducing administrative barriers and ensuring that your preferences are respected during medical treatment and legal proceedings.

Why Work with Our Firm on HIPAA Authorizations

Working with an attorney familiar with estate planning can help you draft HIPAA authorizations that are clear, enforceable, and coordinated with your other documents. We help clients think through common pitfalls, such as ambiguous recipient descriptions or overly broad scopes that may permit unintended disclosures. Our process focuses on making the paperwork practical and understandable so that health care providers and institutions will accept the authorization when it is needed most.

We emphasize client education and document management, ensuring you know where copies should be kept and which providers should have them on file. This proactive approach reduces the likelihood of last-minute hurdles when medical situations arise. Clear communication between legal and medical professionals helps ensure that your designated contacts can access records and coordinate care efficiently.

In addition to drafting tailored authorizations, we assist with reviewing existing documents to identify gaps and recommend updates after life events. We help clients choose appropriate expiration terms, revocation procedures, and scope limitations so the authorization reflects current preferences. This preventative planning helps protect your privacy while enabling trusted people to act for you when necessary.

Contact Jay Johnson Law Firm to Prepare Your HIPAA Authorization

How We Handle HIPAA Authorizations and Related Planning

Our process begins with a discussion of your health care preferences, family circumstances, and the specific access needs of your chosen representatives. We then draft HIPAA authorizations tailored to your situation and coordinate them with durable powers of attorney and advance directives. After you review and sign the documents, we provide guidance on distributing copies to providers and retaining originals securely. We also recommend periodic reviews to keep authorizations current with life changes.

Initial Consultation and Information Gathering

During the initial consultation, we gather information about your health care providers, family contacts, and goals for access to medical records. We discuss whether a limited or broad authorization is appropriate, whether to specify certain record categories, and how long the authorization should remain in effect. This step ensures that the resulting document reflects your intentions and reduces ambiguity when providers receive requests for information.

Assessing Your Needs and Current Documents

We review any existing powers of attorney, advance directives, and prior authorizations to identify overlaps or conflicts. Assessing these documents early allows us to recommend targeted changes that align access to information with decision-making authority. We will explain how each piece works together so you can make informed choices about the scope and duration of HIPAA authorizations and how they will function in practice.

Identifying Key Recipients and Providers

Identifying the specific individuals and health care entities that should receive access is a critical step. We help you specify names, relationships, and contact information, and we clarify which providers will receive copies to streamline processing. Naming both primary and alternate recipients can prevent confusion if the primary designee is unavailable. Clear recipient identification reduces delays when records are requested and helps ensure the authorization is accepted by providers.

Drafting and Reviewing Authorizations

Once the scope and recipients are decided, we draft the HIPAA authorization with clear language describing the records, purpose, duration, and revocation rights. We review the document with you line by line, explain each provision in plain terms, and answer any questions about potential implications. This careful review helps avoid ambiguous phrasing and ensures the authorization will perform as intended when presented to hospitals, clinics, or insurers.

Customizing Scope and Limitations

Customizing the scope allows you to include or exclude categories of information based on personal preferences and privacy concerns. We will discuss common categories such as mental health notes, substance use records, and genetic testing results, and help you decide whether to include them. Tailoring the authorization prevents unnecessary disclosure of highly sensitive information while permitting access to records that are important for care coordination.

Coordinating with Other Planning Documents

We ensure the HIPAA authorization aligns with your powers of attorney and advance directives so that the same individuals who can make decisions also have access to the information needed to act. Coordination reduces the risk of mismatched instructions and simplifies interactions with providers. We will suggest practical steps for distributing documents and maintaining copies so the right people can readily demonstrate authorization when necessary.

Execution, Distribution, and Ongoing Review

After execution, we provide guidance on distributing signed copies to health care providers, keeping an original in a secure location, and informing designated recipients where to find the authorization. We recommend periodic reviews, especially after life changes, to revoke or update authorizations as appropriate. Staying proactive about distribution and regular review helps maintain the effectiveness of your authorizations over time.

Providing Copies to Health Care Providers

Giving copies of the HIPAA authorization to primary care physicians, hospitals, and specialists reduces delays when requests for records are submitted. Providers with the authorization on file can act more quickly when authorized individuals contact them. We advise clients on how to submit authorizations to medical records departments and how to confirm that copies are associated with the correct patient record, which helps avoid administrative confusion in urgent situations.

Reviewing and Updating Authorizations Over Time

Life events such as moving, marriage, divorce, or changes in health care providers may require updating or revoking HIPAA authorizations. We recommend clients review their authorizations annually or after significant changes and provide clear steps for revocation if desired. Proper maintenance ensures authorizations reflect current preferences and prevents outdated permissions from causing unintended disclosures in the future.

Frequently Asked Questions About HIPAA Authorizations

What exactly does a HIPAA authorization allow?

A HIPAA authorization is a written form that allows health care providers and insurers to disclose protected health information to a person or entity you name. The authorization should describe the information to be released, the recipient, the purpose of the disclosure, and an expiration date or event. It provides a clear legal basis for the provider to share specified records, which can include test results, treatment notes, and billing information. Without a valid form, covered entities may be restricted from releasing detailed records except in limited circumstances.The authorization can be crafted to match your needs, whether for a one-time release or ongoing access. It is distinct from general treatment consent and is typically required when records are needed for legal, insurance, or non-treatment purposes. Understanding the exact scope and limitations of the authorization helps prevent unintended disclosures and ensures that those you designate can obtain the information they need to coordinate care or manage affairs on your behalf.

Choosing who to name on your HIPAA authorization depends on trust, availability, and the roles they will play. Many clients name a close family member, a spouse, or a trusted friend who will be involved in medical decision making or day-to-day care. You may also name an attorney or care manager when legal review or case coordination is necessary. Consider naming an alternate recipient in case your first choice is unavailable or unable to act when the need arises.When selecting a recipient, provide clear identifying information such as full name, relationship, and contact details to avoid confusion. You should also think about whether those named understand the responsibilities involved in receiving and safeguarding your medical information. Discuss your preferences with them so they are prepared to act if necessary, and ensure they know where to find copies of the authorization or whom to contact for additional documentation.

Yes, HIPAA authorizations can be limited to specific types of records, date ranges, or purposes. For example, you may allow release of hospital records from a particular admission, or permit access only to medication lists and lab results while excluding psychotherapy notes or substance use treatment records if you prefer to keep those private. Specifying categories and timeframes helps minimize unnecessary disclosures and tailors the authorization to your comfort level regarding privacy and access.Being explicit about limitations also helps health care providers process requests more efficiently, since they know exactly which records to retrieve. If you later decide broader access is needed, you can execute a new authorization with expanded scope. Regular review ensures the authorization continues to reflect your wishes and prevents outdated permissions from enabling releases you no longer desire.

A HIPAA authorization lasts for the time period specified within the document or until it is revoked by the individual who signed it. The authorization can include a specific expiration date or an event-based expiration, such as the conclusion of a legal case or the end of a course of treatment. Without a specified expiration, some institutions may view the authorization as ongoing, which is why it is often best to include a clear end point that matches your intentions.Keep in mind that revoking an authorization does not affect disclosures already made in reliance on the authorization, and providers may retain copies of records released prior to revocation. To maintain control over access, include clear terms for expiration and make sure your designated recipients and providers understand when the authorization will no longer be valid.

You can generally revoke a HIPAA authorization at any time by submitting a written revocation to the provider or entity holding the records, except for disclosures already made in reliance on the authorization. The revocation should ideally be delivered in writing and clearly identify the authorization being revoked and the effective date. After receiving the revocation, providers should no longer share information under that prior authorization for future requests, though previously released records cannot be recalled.It is important to distribute the revocation to all providers and entities that received the authorization and to inform any designated recipients that the authorization has been withdrawn. You should also consider signing a new authorization if you wish to change the scope or recipients rather than revoking without replacement, to avoid leaving important needs unmet during transitions of care.

Providers do not always release information to family members without a valid authorization, especially when the patient has not given clear prior consent or when the patient is an adult with decision-making capacity. HIPAA permits certain disclosures for treatment, payment, or health care operations, and in emergencies providers may share information with family involved in care. However, many institutions will require a written authorization before releasing detailed records or discussing specifics with third parties to ensure privacy protections are observed.If you anticipate that family members will need access to information, it is prudent to execute HIPAA authorizations in advance and provide copies to primary providers. This proactive step prevents confusion during emergencies and gives your chosen representatives clear legal authority to request and receive medical records and communications.

A HIPAA authorization and a power of attorney serve different but complementary roles in planning. A power of attorney grants decision-making authority, allowing someone to make health care or financial decisions on your behalf. A HIPAA authorization specifically allows that person or others to access medical records and communications. Coordinating both documents ensures that those who are authorized to make decisions also have the necessary information to act effectively, which prevents delays and miscommunication when decisions must be made quickly.If your power of attorney names someone to make health care decisions, it is advisable to execute a HIPAA authorization that allows that same person to receive pertinent medical information. This alignment helps hospitals and providers accept the combination of authority and access without additional paperwork, improving the ability of your appointed decision maker to carry out your wishes.

Including sensitive records such as mental health or substance use treatment notes requires careful thought because those categories are often subject to additional confidentiality protections. You may choose to include them if access by your designated representative is important for coordinating care, but you can also exclude them to maintain a higher level of privacy. Many people opt for tailored authorizations that permit access to general medical records while excluding particularly sensitive information unless explicitly necessary.Discussing these choices with legal counsel and potential recipients can help you make a balanced decision. If you decide to include sensitive records, consider limiting access to specific circumstances or designating a trusted individual who understands the confidentiality involved. Clear documentation of your intentions reduces ambiguity and ensures providers know how to respond to record requests.

If a provider refuses to accept your HIPAA authorization, first confirm that the form meets the provider’s formal requirements and that it is properly completed and signed. Providers sometimes have internal templates or require additional identification information. If the authorization appears valid but is still rejected, ask for a written explanation of the refusal and request guidance on editing the document to meet their standards. Providing a copy of the authorization and verifying patient identifiers can help resolve simple clerical issues.If the refusal continues despite a valid authorization, consider sending a written request to the medical records department or contacting the provider’s privacy officer for assistance. In some cases, legal counsel can help communicate with the provider to ensure compliance with HIPAA rules and institutional policies, especially when records are necessary for ongoing care or legal matters.

Review your HIPAA authorizations whenever you experience significant life changes such as marriage, divorce, a move, diagnosis, or changes in who you trust to act on your behalf. Annual reviews can also be helpful to confirm that the named recipients, providers, and expiration terms still reflect your wishes. Regular review ensures authorizations remain current and effective, reducing the risk of outdated permissions that may no longer match your circumstances.Updating authorizations when necessary is a simple but important maintenance step. If you revoke or replace an authorization, distribute the changes to all providers who had the prior document and inform your designated recipients. Clear documentation of updates and revocations prevents confusion and helps ensure that the right people can access needed records when they are called upon to assist.

Leave a Reply

Your email address will not be published. Required fields are marked *

How can we help you?

Step 1 of 4

  • This field is for validation purposes and should be left unchanged.

or call