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Compatible state(s): Arizona

HIPAA Authorization (Patient) (AZ)

This form creates a HIPAA Authorization form, which enables certain trusted family and friends to have access to your medical records and health information when you are injured. These records are typically used to help prove whether you are capable to make health care and financial decisions on your own, and therefore could activate a Health Care Power of Attorney or a Durable Power of Attorney which you signed when healthy.

Self Service

Price: Free

Included in this service:

HIPAA Authorization (Patient) (T1) (Guidance Notes)