HIPAA Authorization Form
A HIPAA Authorization Form is a legal document that allows healthcare providers to release a patient's protected health information (PHI) to a third party. This form is necessary for compliance with the Health Insurance Portability and Accountability Act (HIPAA) privacy rule, which protects the privacy of patients' health information. By signing this form, patients give their explicit consent for their healthcare provider to disclose their PHI to a specified third party, such as a family member, caregiver, or insurance company. This form include certain elements, such as the purpose of the disclosure, the specific information to be disclosed, and the date of the authorization.
Unlimited submissions
Clean design
Detailed documentation
Unparalleled features creating true impact
Complex schedules made easy
Run group and recurring bookings, ad-hoc appointments, and more.
Private and group chats
Support patients with on and offline chat messaging and file sharing.
Video calls from anywhere
Crisp and secure video appointments from any device.
Medical form builder
Free up front desk with digital forms completed online prior to visit.
Remote patient monitoring
Assess health indicators virtually using mobile & web cameras.
Custom notifications for all
Set dynamic email and SMS notifications for patient and staff.
Customizable booking page
Create your booking page, embed it into your site or share a link.
Patient management portal
For patients to manage sessions, prescriptions and more.
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