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Claiming documents, viewing diagnoses, and comparing test results are some of the instances that require an Authorization Form in the medical field or industry. The patient’s records from their previous admission to a different medical center are only acquired if the physician can submit an authorization as his request to the patient.

This form is important because it serves as the document that protects the patient’s identity and confidential information from probable misuses. This is also applicable for granting an authority to access the healthcare insurance records of an individual or a beneficiary of an insurance company.

Medical Treatment Authorization

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  • PDF

Size: 31 KB

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 Authorization for Release of Medical Records

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  • PDF

Size: 69 KB

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Sample Medical Prior Authorization

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  • PDF

Size: 466 KB

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Medical Consent Authorization

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  • PDF

Size: 7 KB

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Authorization to Release Medical Information

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  • PDF

Size: 100 KB

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Emergency Medical Authorization

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  • PDF

Size: 108 KB

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Medical Prior Authorization Request

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  • PDF

Size: 90 KB

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Kinds of Medical Authorization Forms

As you view every Sample Medical Authorization Forms on our site, you can distinguish their differences in terms of required data and their accompanying purposes. So here are the four main kinds of Medical Authorization Forms which you will encounter on our site:

Medical Treatment Authorization Form – This is for allowing a physician and other medical professionals to administer a treatment or surgery to a patient. The form will state the patient’s allergies and the prescriptions required by the administering doctor.

Authorization for Release of Medical Records – When dealing with releasing of medical information, the relative of the patient of the patient himself may indicate the type and limitations of the information to be given and released for the doctor’s requirements on this document.

Medical Prior Authorization – Health insurance companies use this type of form to assure that they will not be spending too much from the patient’s beneficiary insurance coverage. When processing a prior authorization, the company may suggest generic prescriptions and alternative medical procedures which are less costly than what the doctor requires.

Medical Consent Authorization – This form is commonly given to parents of minor children to indicate the names of the specific medical personnel in which they lay their trust to conduct procedures during the child’s admission at the medical center.

Medical Administration Authorization

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  • PDF

Size: 144 KB

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Youth Medical Authorization

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  • PDF

Size: 49 KB

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Medical Authorization Request

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  • PDF

Size: 360 KB

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Minor Child Medical Authorization

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  • PDF

Size: 222 KB

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Sample Medical Authorization Form

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  • PDF

Size: 164 KB

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Annual Parent Medical Authorization

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  • PDF

Size: 112 KB

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Camp Emergency Medical Authorization

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  • PDF

Size: 160 KB

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Medical Information Release Authorization Form

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  • XLS

Size: 16 KB

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Simple Medical Authorization Form

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File Format
  • DOC

Size: 3 KB

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What Should be in a Medical Authorization Form?

No matter what the information is to be released or what type of medical surgeries are to be administered, the authorization form should only be signed if the patient has a completely sound mind and body. In the event that the patient has no ability to sign the form, the guardians may take over the signatories with ample legal documents as proof of their guardianship. So, before signing the form, make sure that the information below is presented and found on the document:

  • The details about the patient, guardians of the patient and the authorized person.
  • The stated purpose and intent of the authorization.
  • The list of the patient’s required treatments and medical procedures including the laboratory tests such as an X-ray.
  • The reasons why the authorization is given to the chosen authorized person.
  • The illness and medical issues of the patient.

Another known type of medical authorization form is an HIPAA Authorization Form. Basically, this is used by the countries who have the Health Insurance Portability and Accountability Act of 1996. The form under this legislative act is to assure that the medical records of every citizen in the country is protected and remained at safety with the system of the government.

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