HIPAA Release Form Templates

This document is used to authorize the release of medical information to a designated individual or organization.

This document allows Indiana residents to choose someone to make healthcare decisions on their behalf if they are unable to do so.

This document is used for obtaining authorization to release medical information in the state of California. It allows healthcare providers to share a patient's medical records with designated individuals or organizations.

This Form is used for authorizing the release of health and mental health information in the state of California.

This form is used for patients in Nevada to give consent for the release of their protected health information.

This form is used for authorizing the limited release of health information according to HIPAA regulations in New York, translated into Haitian Creole.

This form is used for obtaining limited release of health information under HIPAA regulations in the state of New York. It is specifically designed for individuals who prefer to communicate in Korean.

This form is used for releasing medical records in Hawaii.

This form is used for authorizing the release of medical information in the state of Texas.

This form is used for granting authorization to disclose medical information in Texas.

This form is used for releasing client/resident medical information in California. It allows individuals to authorize the disclosure of their medical information to another party.

This Form is used for authorizing the release of protected health information in large print format in Massachusetts.

This form is used for obtaining authorization to release personal information in the state of Maine.

This form is used for authorizing the release of information in the state of Vermont. It allows individuals to give consent for their personal information to be shared with specific parties.

This Form is used for authorizing the release of personal health information under the Health Insurance Portability and Accountability Act (HIPAA) in Niagara County, New York.

This form is used for obtaining consent and releasing information for individuals who are 18 years of age and older in the state of Ohio.

This Form is used for authorizing the release of medical information in Austin, Texas. It is available in both English and Spanish.

This form is used for the limited release of health information in compliance with HIPAA regulations in New York. It allows individuals to authorize the disclosure of specific medical records to a designated party.

This document is used to authorize the release of medical information in Rhode Island.