Adams® HIPAA Authorization (Practice), 1-Use Interactive Digital Legal Form
$9.95
Adams
1 form
DLF601-SL
This form allows medical practitioners to help patients confidently create a HIPAA Authorization form to provide trusted family and friends access to their protected health information in the event of illness or incapacitation.
Available in increments of 1
- Form for practitioners helps their patients designate trusted family or friends to have access to their 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
| Item # | DLF601-SL |
|---|---|
| Purchasing Quantity | 1 form |
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