Adams® HIPAA Authorization (Patient), 1-Use Interactive Digital Legal Form
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).
- 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
| Item # | DLF551-SL |
|---|---|
| Purchasing Quantity | 1 form |
Write Your Own Review