FORMS - HIPAA

Title PDF
HIPAA - Authorization to Permit Interview of Treating Physician by Defense Counsel PDF
HIPAA (Health Insurance Portability & Accountability Act)
[fillable PDF - requires Acrobat 5 or newer]
PDF

 

Note: The above two HIPAA forms may not be used to obtain an authorization for release of psychotherapy notes. See 45 CFR section 164.508