Authorization to Obtain Medical Records and Billing Information

This Authorization to Obtain Medical Records and Billing Information will authorize an attorney to obtain a client's medical and billing information. This authorization contains the name of the client, medical provider who possesses the information and purposes for which the information can be used. It also spells out that the client may revoke the authorization at any time. A written Authorization to Obtain Medical Records and Billing Information is necessary in order for an attorney to obtain this needed information. (continued ...)

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