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The Law Offices of Juliet Gavriel

HIPAA Authorization Form

The Health Insurance Portability and Accounting Act (HIPAA) is a law which was passed to ensure that patients health and medical records are kept confidential. Penalties for violating the terms of this act are extremely severe and therefore Insurance companies and any other health care providers are extremely wary of sharing any information, even with close family members, which would result in them being guilty of violating the law.


Health care proxies allow you to appoint a health care agent who can medical decisions on your behalf if you are unable to do so. Without a signed HIPAA authorization form your medical treatment provider and or your insurance company may be reluctant to share any information with your health care agent which could be deemed to be in violation of the law. Signing a HIPAA authorization form allows your health care agent to be able to make medical decisions in your best interests as well as be able to handle any billing or insurance policy issues that may come up.


To discuss the HIPAA authorization form and other health care documents you may need such as Living Wills and Health Care Proxies call us at 718-607-8514 and schedule your FREE consultation.