FREE 11+ HIPAA Release Form Samples in PDF | MS Word

According the Health Insurance Portability and Accountability Act which is also called HIPAA, your doctor or hospital is not allowed to disclose the details of your health to any person other than your immediate family. However, if you sign a HIPAA release form, you give them the right to discuss your case with other doctors and medical experts or to use it as a medical reference. Thus, a HIPAA release form is a sort of a legal document. You may also see Medical Release Forms

Generic HIPAA Release Form

This is the standard format of a HIPAA release form and comprises of all the important segments that should be an essential part of such a form. You can however make changes to this form as per your requirement.

Sample HIPAA Medical Release Form

This form is used in hospitals and clinics where the doctor may want to discuss a case with other experts. Getting the patient to sign this form gives him a legal permission to disclose and discuss the person’s health details with others.

Patient HIPAA Release Form

A doctor may ask his patient to sign this HIPAA release form if he deems it necessary to discuss the case details of the patient with some medical expert. Failing to do so may land the doctor in a legal issue.

Designated HIPAA Release Form

This is a specially designed form that is used by individual medical department. The patient signing this form grants permission to the doctor to disclose his medical condition.

Sample Personal Health Information HIPAA Release Form

This form when signed by a patient allows the medical practitioner to disclose the health details of a patient to others. However, the patient may restrict this disclosure to a selected group of people.

Medical Information HIPAA Release Form

Used mainly in hospitals and private clinics, doctors use this form to secure permission from their patients to disclose their medical information to others, if need be.

HIPAA Privacy Authorization Release Form

This form is used by a doctor or medical practitioner to gain permission from a patient to allow the usage of certain medical expenditure benefits on behalf of the patient. This usually happens when the patient may be expected to be comatose for long.

Sample HIPAA Dental Release Form

Used by dentists, this form helps them to secure permission from their patients to disclose the dental health details to other members of their family or to discuss these with other doctors.

HIPAA Release of Information Form

This form is used in a hospital or clinic to get the permission of a patient to disclose certain information about his/her health. This form allows the patient to choose the information that could be disclosed.

Authorization of HIPAA Release Form

By signing this form, a patient authorizes a medical practitioner or doctor to disclose and discuss the details of his case with his family, friends and other medical experts.

Simple HIPAA Release Form

Why Should One Use a HIPAA Release Form?

Usually medical practitioners are not at a liberty to disclose the case details of their patients. In fact they are bound under the Health Insurance Portability and Accountability Act to follow the code of secrecy. However, many a times they may require discussing the details with other doctors to get some helpful insight on the case. Using the HIPAA release form helps them to do this in a legal fashion. Patients may also use a HIPAA release form to ascertain that their medical details are confined to a particular group of people and does not leak. Useful Medical Records Release Forms

What are the Benefits of Using a HIPAA Release Form?

If a doctor or a medical institution discloses the details of a patient’s ill health without his prior consent, they actually go against the law and may be liable to be tried in court. However, using a HIPAA release form helps them to get a legal permission from the patient to discuss his health details with others and thus, saves them from a lawsuit. The HIPAA release form offers both the parties a platform to set some ground rules that both the parties should follow. The HIPAA release form is considered to be a viable proof and come in handy in case of a legal hassle.

How Can You Design an Efficient HIPAA Release Form?

Before you start designing the form, it would be a good idea to consult the doctor as well the patient to find out what terms they wish to include in the HIPAA release form. Start by adding an appropriate title to the top of the form. Below this add the name of the patient along with details like age, address etc. This should be followed by a segment where the patient can spell out the people to whom he wishes the details to be disclosed. You can also put these up as options and ask the patient to check the best suited ones. Follow this with the other terms of the agreement. Break these into bullet points to make them more readable. You can also see General Release Forms

Designing a HIPAA release form is easier said than done and you may need the help of an expert to do this. However, if you are in a rush, you can surely go ahead and download and HIPAA release form. With a wide range of these forms available online, finding one that is perfect for you would not be tough. These forms are easy to customize and are ready to be printed.