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HIPAA Authorization Template

A template for obtaining patient consent for PHI disclosure under HIPAA.
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By Penno TeamCreated February 20, 2025

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About this template

This HIPAA Authorization Template is essential for healthcare providers to obtain patient consent for the use and disclosure of their protected health information, ensuring compliance with HIPAA regulations. It outlines the necessary patient information, purpose of disclosure, and patient rights, making it a vital tool in healthcare documentation.

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