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HIPAA Release Form California

HIPAA Release Form California

California Medical Records Release Authorization Form

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(free PDF document – Opens directly in browser)

This California HIPAA release form enables patients to permit any person or 3rd party organization to have access to their personal health records. The HIPAA release form also optionally allows healthcare providers to share health information with each other. The California HIPAA release form can be revoked and/or reassigned at any time.  The form is compliant with both local Californian regulations and federal regulations.