Release Of Information In Healthcare In Maricopa
Category:
State:
Multi-State
County:
Maricopa
Control #:
US-00458
Format:
Word;
Rich Text
Instant download
Description
The Release of Information in Healthcare in Maricopa form is a crucial document that enables individuals to authorize the disclosure of their healthcare information. This form is particularly beneficial for various stakeholders including attorneys, partners, owners, associates, paralegals, and legal assistants who handle healthcare-related legal matters. Key features of the form include sections for detailing the recipient of the information, specific data to be disclosed, and an indemnity clause protecting the disclosing party from liabilities associated with the release. Users must fill in personal details such as name, social security number, and the name of the organization or individual receiving the information. It is important for users to understand that the authorization remains valid until a written revocation is submitted. The form serves multiple use cases such as facilitating legal inquiries into a person's medical history, enabling insurance claims, or supporting workplace-related health investigations. By employing simple language and direct instructions, the form makes it accessible for users without extensive legal backgrounds while ensuring compliance and protection for all parties involved.
