Medical Authorization (HIPAA Compliant)

Authorization form for disclosure of medical records, in compliance with HIPAA requirements.

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Medical Authorization (HIPAA Compliant) (Spanish)

Authorization form for disclosure of medical records, in compliance with HIPAA requirements.

Employment, Wage & Med. Authorization

An employee authorization form allowing release of employment, wage and medical information to another party.

Employment, Wage & Med. Authorization (Spanish)

An employee authorization form allowing release of employment, wage and medical information to another party.

Request For Medical Docs/Bills From Dr.

A form letter requesting medical documents and bills from a physician providing treatment to a claimant, sent with a medical authorization.

Request For Medical Docs/Bills From Dr. (Spanish)

A form letter requesting medical documents and bills from a physician providing treatment to a claimant, sent with a medical authorization.

Employment-Wage Authorization

A person uses this form to authorize an employer to release his or her employment and wage records to a third party.

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