Create your Medical Authorization Form from scratch

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Here's how it works

01. Start with a blank Medical Authorization Form
Open the blank document in the editor, set the document view, and add extra pages if applicable.
02. Add and configure fillable fields
Use the top toolbar to insert fields like text and signature boxes, radio buttons, checkboxes, and more. Assign users to fields.
03. Distribute your form
Share your Medical Authorization Form in seconds via email or a link. You can also download it, export it, or print it out.

Design your Medical Authorization Form in a matter of minutes

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Step 1: Access DocHub to set up your Medical Authorization Form.

Start by accessing your DocHub account. Utilize the pro DocHub functionality free for 30 days.

Step 2: Navigate to the dashboard.

Once signed in, go to the DocHub dashboard. This is where you'll create your forms and handle your document workflow.

Step 3: Design the Medical Authorization Form.

Hit New Document and select Create Blank Document to be taken to the form builder.

Step 4: Set up the form layout.

Use the DocHub features to add and arrange form fields like text areas, signature boxes, images, and others to your form.

Step 5: Insert text and titles.

Add needed text, such as questions or instructions, using the text tool to lead the users in your document.

Step 6: Customize field settings.

Modify the properties of each field, such as making them compulsory or formatting them according to the data you expect to collect. Designate recipients if applicable.

Step 7: Review and save.

After you’ve managed to design the Medical Authorization Form, make a final review of your form. Then, save the form within DocHub, send it to your preferred location, or share it via a link or email.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
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How long is and Letter of Authority valid for? LOAs will state how long they are valid for. Often LOAs remain valid for the period of 12 months from the date of signature, or if you have a fixed-term contract, it will be valid for the duration of the fixed term period unless you advise otherwise.
Q: How long does an authorization remain valid? A: It remains valid until the expiration date/event, unless the patient revokes it beforehand in writing.
A: It remains valid until the expiration date/event, unless the patient revokes it beforehand in writing. A revocation doesnt affect actions your organization took while the authorization was still valid.
HIPAA stipulates that there has to be a written authorization for every use or disclosure of PHI not required or permitted by the Privacy Rule. In addition, the retraction of HIPAA authorization also has to be written.
A HIPAA-compliant HIPAA release form must, at the very least, contain the following information: A description of the information that will be used/disclosed. The purpose for which the information will be disclosed. The name of the person or entity to whom the information will be disclosed.
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Related Q&A to Medical Authorization Form

There is no standard timeframe for its validity set by HIPAA regulations. The expiration date is usually specified within the agreement. It can vary depending on the negotiated agreement between the parties involved.
Clearly state the duration of the authorization, whether it is a one-time approval or for a specific period of time. Include any additional instructions or limitations for the healthcare provider. Sign and date the letter. Keep a copy of the letter for your records.
How do I fill out a HIPAA release form? Provide instructions. Name the patient and individual authorized to use or disclose their PHI. Describe the information. Specify recipients. Specify the purpose of disclosure. Specify the time period. Detail their revocation rights. Obtain the patients signature.

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