Patient Consent & Authorization for Release of PHI with Tip Sheet - ComplyRight

Form Template

Use this attorney-reviewed form to meet your HIPAA obligations.

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HIPAA requires covered entities to obtain an individual’s written authorization for any use or disclosure of protected health information that is not for treatment, payment or health care operations. There are several elements that must be included in the authorization for it to be valid. The Patient Consent and Authorization for Release of Protected Health Information form complies with HIPAA’s authorization requirements. Click here for a free tip sheet that includes HIPAA definitions, elements of a valid authorization, helpful do’s and don’ts and other useful information.

Need printed HIPAA Forms? Visit G. Neil for the HIPAA Patient Consent & Authorization for Release of PHI in paper form.

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