An authorization for release of protected health information form is a consent for release of medical records of a patient that is held in trust by the information controller for the patient. This, in other words, refer to a medical file or record usually held by hospitals or by the doctor. These days, privacy and security of medical information is an imperative necessity and nobody is allowed to disclose any information to any party without the consent of the patient owning or who is referred to in the information. By law, consent is a requirement given by the patient in writing before any medical information about him or she is disclosed for any purpose. Thus, it is necessary to have authorization first from the patient or his/her authorized or legal representative before disclosing the said information.
This Authorization For Release Of Protected Health Information Form template is your instant form solution for acquiring consent from patients or their representatives. Having this form enables you to immediately publish the form and have it ready for receiving submissions for getting consent. This form template comes with tools that make life easier. Convert your submissions into ready to print PDF files for your physical hardcopy needs. Manage your submissions and easily sort them alphabetically depending on what you are looking for with just a few mouse clicks. Start getting authorization for usage of protected health information with this template here in JotForm.