45 C.F.R. § 164.508

HIPAA Authorization

Authorize family members or trusted persons to access your medical records and communicate with your health care providers — on your terms.

$49

One-time · ~8 min

What's Included

Primary and alternate authorized recipient

Broad disclosure authorization

Full scope of health information covered

Mental health, HIV/AIDS, substance use records

Purpose of disclosure specification

Expiration date control

Right to revoke notice

Patient rights disclosures

Notary signature block

How It Works

Answer plain-English questions — one at a time

Review your answers and pay securely via Stripe

Download your completed PDF and DOCX instantly

Ready to start?

Takes about ~8 min

Your data is encrypted

Instant PDF + DOCX download

$49

One-time payment

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Frequently Asked Questions

Is this document valid in Florida?

Yes. Every document is drafted from Florida statutes and reviewed by a licensed Florida attorney before going live on this platform.

Do I need witnesses and a notary?

Yes. Florida law requires most estate planning documents to be signed before 2 witnesses and a notary public. We provide clear execution instructions with every document.

What format will I receive?

Both PDF (ready to print and sign) and DOCX (editable Word document), delivered instantly to your email and available for immediate download.