Medical Authorization For Minor Child In Allegheny
Category:
State:
Multi-State
County:
Allegheny
Control #:
US-00426
Format:
Word;
Rich Text
Instant download
Description
The Authorization for Medical Information form facilitates the transfer of medical records and information for a minor child in Allegheny, ensuring that designated individuals, such as attorneys or legal representatives, can obtain necessary medical documentation. Key features of this form include explicit consent for health information release under the Health Insurance Portability and Accountability Act (HIPAA), allowing attorneys access to comprehensive medical reports related to treatment received. The form emphasizes confidentiality, instructing providers not to disclose information without written authority. Filling the form requires the parent or guardian's signature, and they must specify the duration of the authorization, which can remain effective until revoked in writing. This form is particularly useful for attorneys, partners, owners, associates, paralegals, and legal assistants who represent clients in personal injury claims or similar legal matters concerning minors. By utilizing this form, legal representatives can effectively communicate with healthcare providers and ensure their client's medical information is legally accessible for case proceedings.
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