Use this form to assert a lien on the proceeds of a liability settlement (i.e. for MVA cases) to ensure you will get paid when the case settles.
A HIPAA Compliant Authorization to Disclose Protected Health Information Form must contain certain information and disclosures to be HIPAA compliant. In addition, an authorization cannot be combined with other consent forms. This Guidance on HIPAA Authorization Forms provides information on the requirements for a HIPAA compliant Authorization form and a template that you can use in your practice. It … Read more