Adams® HIPAA Authorization (Patient), 1-Use Interactive Digital Legal Form

$9.95
Adams
1 form
DLF551-SL

This form allows patients to create their own legal document granting designated family or friends access to their protected health information under the Health Insurance Portability and Accountability Act (HIPAA).

Available in increments of 1
  • Form provides your designated family or friends access to protected health information under (HIPAA)
  • Lists person or persons allowed access to your health information for an unlimited or designated time period
  • Specifies level of access to include or exclude mental health, addiction, or communicable disease treatment
  • Attorney-reviewed form valid for use in every state
  • Click the secure link in your account to begin the interactive Q&A that creates your legal form
  • Responses auto save as you work; return any time to complete your secure form at topslegalforms.com/docs
  • Online Guidance Notes offer additional information on signing, filing, and executing your documents
  • Download to save and print your customized PDF file
More Information
Item # DLF551-SL
Purchasing Quantity 1 form
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