HIPAA Medical Records Authorization – Personal Injury

This Medical Records Authorization is specifically tailored for personal injury representation and allows law firms to obtain medical records on behalf of a client. The document is HIPAA-compliant and includes space for your firm’s letterhead and logo for professional presentation to healthcare providers.

Features include:

• Patient and provider identification fields

• Specific record types and date range

• Purpose of disclosure (personal injury legal representation)

• Revocation language and one-year expiration

• Optional notary section

• Delivered in Microsoft Word format for fast editing

Essential for personal injury lawyers handling claims involving medical treatment, this template ensures your firm receives the documentation you need — quickly and legally.