The New York Claimants Authorization To Disclose Health Information (Pursuant To HIPAA) allows individuals to authorize the release of protected health information (PHI) to specific individuals or organizations. It is also known as a release of information form or HIPAA authorization form. This form is used to obtain permission for the use or disclosure of PHI for purposes such as treatment, payment, or health care operations. It is also used to comply with HIPAA regulations that require an individual’s explicit authorization for the release of PHI. There are two types of New York Claimants Authorization To Disclose Health Information (Pursuant To HIPAA): general authorization and specific authorization. A general authorization allows the release of all PHI to an individual or organization, while a specific authorization limits the release of PHI to specific purposes. The form must be completed and signed by the individual, or their legal representative, granting authorization for the release of PHI. The form should include the name and address of the individual who is granting authorization, the name and address of the person or organization to whom the PHI will be released, the purpose of the release, a description of the PHI that may be released, and the expiration date of the authorization. In addition, the form should include a statement that the individual understands that the PHI may be used and disclosed for the purposes stated in the authorization and that the individual has the right to revoke the authorization at any time.