HIPAA Authorization

The Health Insurance Portability and Accountability Act (HIPAA) requires that you give your authorization for others to have access to your medical records or protected health information. The HIPAA Authorization Form may be used for this purpose. The authorization may be for limited information to be used for a limited purpose, or it may be for unlimited information and used for a general purpose. The scope of the disclosure and to whom this disclosure may be made is up to you.