Get Hipaa Authorization Form - University Of Portland Athletics

Filling out the HIPAA Authorization Form for the University of Portland Athletics is an important step in ensuring your protected health information is managed according to your wishes. This guide will provide you with clear instructions on how to complete the form accurately and efficiently online.

Follow the steps to complete the form successfully.

1. Click ‘Get Form’ button to obtain the form and open it in the editing interface.
2. Begin by reviewing the University of Portland Athletic Department's Notice of Privacy Practices as this is essential for understanding how your information will be used and disclosed.
3. In the first section, fill in your printed name as the student-athlete, ensuring accurate spelling.
4. Next, enter your date of birth. This information is important for verifying your identity.
5. You will then need to sign the form. Sign in the designated area to authorize the use and disclosure of your protected health information.
6. If you are under 18 years of age, ensure that your parent or guardian also signs the form in the provided space.
7. Finally, review the completed form for any mistakes, then save your changes. You can download, print, or share the document as needed.

Complete your HIPAA Authorization Form online today to safeguard your health information.