Health & Medical Health & Medical Insurance

How to Complete a HIPAA Form

    • 1). Obtain a HIPAA Privacy Authorization Form from your physician or local hospital.

    • 2). Fill out the name of the health care provider authorized to release the information and the name of the person authorized to receive your medical information.

    • 3). Determine the time period you authorize the health care provider to release the information, as well as what information they can release.

    • 4). Specify how long the authorization form will remain in effect. This may be a specific date or until your death.

    • 5). Sign the form or have a parent sign the form if the patient is a minor.

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