If you have been injured in an accident and are filing a personal injury lawsuit, your attorney will need to request your medical records.
Below is a sample of an HIPAA Authorization and Consent of Information form that we filed on behalf of our client authorizing the release of all their medical records-mental health records, billing statements, radiological films, pathology material, photographs, videos, and other information-to our firm. This document also allows our client’s medical provider to verbally disclose information about our client’s diagnosis, treatment, and prognosis. We have redacted the names of our client and their medical provider for purposes of confidentiality.
Download HIPAA AUTHORIZATION AND CONSENT OF INFORMATION