HIPAA Authorization Form

Most HIPAA Authorization Forms our clients use are outdated and can not be used with modern marketing.

Purchase an updated 

Authorization for Use and Disclosure of Protected Health Information Form

This attorney reviewed document template allows the doctor to give a marketer access to patient pictures, videos, testimonials (written or electronic), and for the marketer or doctor to have a sub-contracted videographer come in and take those pics, shoot those videos, and do the necessary editing - without having to make the sub-contracted videographer a Business Associate. This template is a lifesaver for the vast majority of practices. It's the doctor's responsibility to obtain this authorization from each patient and hold onto that documentation for a period of 6 years after the expiration date on the authorization. Do NOT modify the language on WHO will receive the PHI, as this is how any sub-contracted videographer is exempted from having to be a Business Associate.

Sale! $197

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