Home > Forms & Documents > Browse by Letter > P > Permission To Disclose Health Billing Information
Permission To Disclose Health Billing Information
This is a form signed by an individual who wants to grant permission for a health care provider or hospital to release their medical records and/or billing information to another individual other than the patient as is required by the Health Insurance Portability and Accountability Act (HIPPA).
(more...)
Download: Permission To Disclose Health Billing Information
Available from: USLegalForms.com
SKU: US-PRM-26
NOTICE: The information and
links contained on this web page are intended only to be merely informative and
are NOT intended to provide legal advice to any person/entity. Consult with and
seek the advice of a qualified lawyer. E.&O.E.
Click here for important legal disclaimer.