Wills & Estates

HIPAA Authorization

Let named people receive a patient's health information, in the form federal law requires.

What you get

  • An editable Word document, drafted from your answers and the state's official text.
  • A proof of sources: every citation in the draft with the words it quotes, the official source, the date the text was saved and its fingerprint.
  • Notes for counsel listing each point marked [VERIFY], each blank and each choice left for the client.

What the intake asks

Plain questions, in the order an attorney would take the facts. Anything left blank stays a marked blank in the draft; nothing is invented to fill it.

The patient

  • Patient's full legal name
  • Patient details

Who and what

  • Who may receive the information
  • From which providers
  • Named providers
  • What information
  • Limits on the information
  • Specially protected information
  • Purpose

Duration and signing

  • When it ends
  • Expiration date or event
  • Who signs
  • Representative's authority
  • Formalities
  • Other instructions

Where it is offered

Every state Lawsmith has official sources for:

Official sources on file

The drafter works from the texts Lawsmith has saved for this document in the state you choose, plus federal law where it applies. Each is read from the official publisher and dated.

StateSources for this document
California14
Connecticut14
Delaware11
District of Columbia16
Florida14
Maryland17
Massachusetts12
New Jersey11
New York14
Ohio15
Pennsylvania14
Texas18
Virginia10

Among them, for New Jersey:

  • N.J.S.A. 26:2H-61 Authority to make health care decisions
  • N.J.S.A. 26:2H-12.8 Rights of persons admitted to a general hospital.
  • N.J.S.A. 26:2H-5n Hospital to provide medical, billing records; fees; price limits.
  • N.J.S.A. 45:14B-28 Confidential relations and communications.
  • N.J.S.A. 45:9-22.27 Health care professional to provide copies of treatment, billing records; fees; price limits.

How the draft is checked

Before it writes, the drafter must quote the official text behind each citation. Lawsmith compares every quotation with the text on file, character for character; a citation with no checked quotation reaches you marked [VERIFY]. The draft still needs your review before it is signed, filed or sent. How citations are checked

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