Medical Authorization Form For Minor In Nevada
Category:
State:
Multi-State
Control #:
US-00426
Format:
Word;
Rich Text
Instant download
Description
The Medical Authorization Form for Minor in Nevada is a crucial document enabling healthcare providers to share information about a minor's medical history with designated individuals, particularly attorneys. This form facilitates the release of comprehensive medical records, including treatment histories and other relevant health information, to support legal claims. Users must fill in the names of the minor and the authorized representative, and provide a specific date for the disclosure period. It's essential to clarify that the authorization covers health information governed by HIPAA, ensuring compliance with privacy regulations. The form can be used by attorneys, partners, owners, associates, paralegals, and legal assistants who need to gather medical documentation to substantiate cases related to minors. Accurate and complete filling is important for the legitimacy of the authorization, and users should be aware that any prior authorizations are revoked upon signing this form. This authorization remains valid until revoked in writing, offering a streamlined process for obtaining vital medical records necessary for legal matters.
Free preview
