HIPAA Form

Appointment of HIPAA Representative

HIPAA restricts the release of your medical information to other individuals. This applies even if it is your spouse. You may also want your adult children or a close friend who helps with your medical issues to have access to your medical information. In addition, if your child is heading off to college and requires medical attention, without proper written authorization, you will not be able to get any information from their medical providers. Therefore, you can alleviate this problem by downloading and completing your free “Appointment of HIPAA Representative” form. Keep in mind that this is not a Power of Attorney, just a release for medical information.

Appointment of HIPAA Representative Download

Stone Legal Group, PLLC
(502) 326-5550