ITEM NAME: Medical Authorization Form
DOCUMENT PAGES: 3
ITEM NUMBER: 00325
DOCUMENT SIZE: 8.5" x 11 "
DESCRIPTION: An authorization to release medical information form. This form allows the Health Plan (your health insurance carrier or HMO) to release your protected health information to a person or organization that the patient chooses.
SOFTWARE DELIVERY: You will receive your software by email link as soon as purchase is approved by online processor. Regardless of software option you choose below, by default you receive a Microsoft Word (.doc & .xml) and an Adobe Acrobat PDF file bundled in your software package.
KEYWORDS: medical information release, medical, records, release of medical records, authorization, health plan, health insurance, permission to release, legal authority, power of attorney, protected health information, release patient's information, patient information.