A HIPAA Consent Form is a written authorization completed by the patient who lets their medical provider disclose health information to the individual or organization named in the document. The patient may present this consent form to their current healthcare provider and ask them to disclose protected health information.
Download a printable HIPAA Consent Form template through the link below.
This document will share your health records, results of physical examinations and laboratory tests, X-ray reports, and financial documentation related to your treatment with people you trust.
Pressing the PRINT button will only print the current page. Download the document to your desktop, tablet or smartphone to be able to print it out in full.