Photocopy or facsimile of the original authorization will be considered as valid as the original: Fill out & sign online

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

The fastest way to redact Photocopy or facsimile of the original authorization will be considered as valid as the original online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Dochub is the greatest editor for modifying your paperwork online. Follow this straightforward guide to edit Photocopy or facsimile of the original authorization will be considered as valid as the original in PDF format online free of charge:

Sign up and log in. Create a free account, set a strong password, and proceed with email verification to start managing your forms.
Upload a document. Click on New Document and choose the form importing option: upload Photocopy or facsimile of the original authorization will be considered as valid as the original from your device, the cloud, or a secure link.
Make adjustments to the template. Take advantage of the upper and left panel tools to modify Photocopy or facsimile of the original authorization will be considered as valid as the original. Add and customize text, images, and fillable areas, whiteout unnecessary details, highlight the significant ones, and comment on your updates.
Get your documentation completed. Send the form to other individuals via email, generate a link for faster document sharing, export the template to the cloud, or save it on your device in the current version or with Audit Trail added.

Explore all the advantages of our editor right now!

be ready to get more

Complete this form in 5 minutes or less

Get form

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.

Contact us

What must be included in formal authorization?

The name (or other specific identification) of the person or class of persons authorized to make the requested use or disclosure. The name(s) or other specific identification of the person or class of persons to whom information will be disclosed. A description of the purpose of the requested use or disclosure.

Is a copy of an authorization okay?

Under the Privacy Rule, a covered entity may use or disclose protected health information pursuant to a copy of a valid and signed Authorization, including a copy that is received by facsimile or electronically transmitted.

Is a copy of an authorization acceptable?

Under the Privacy Rule, a covered entity may use or disclose protected health information pursuant to a copy of a valid and signed Authorization, including a copy that is received by facsimile or electronically transmitted.

Which of the following must be included in an authorization?

An authorization document must include all of the following: Description of information to be use or disclose, identification of person authorized to use or disclose information, name of person(s) or group to whom PHI may be given, purpose of use or disclosure, expiration date, valid signature and date.

What must a valid authorization contain?

be written in plain language: 1. A description of the information to be used or disclosed that identifies the information in a specific and meaningful fashion. 2. The name or other specific identification of the person or class of persons, authorized to make the requested use or disclosure.

Related forms

be ready to get more