Medical Information Disclosure Authorization
(HIPAA Release)

What is a Medical Information Disclosure Authorization?

A Medical Disclosure Authorization Form is a legal document that grants permission to disclose an individual's medical information to specified individuals or entities. This form is often used in healthcare settings to comply with privacy laws, such as the Health Insurance Portability and Accountability Act (HIPAA) in the United States. The purpose of the form is to ensure that healthcare providers and related entities only share a person's medical information with those individuals or entities explicitly authorized by the patient.