HIPAA Waiver

What Is a HIPAA Authorization Form?

Control Who Can Access Your Private Health Information

A HIPAA Authorization Form is a vital legal document that gives you control over who can access and share your protected health information (PHI). Under the Health Insurance Portability and Accountability Act (HIPAA), your medical records are confidential—but there are times when you may want or need to grant access to someone you trust.

Whether it’s a family member, caregiver, healthcare proxy, or insurance representative, this form ensures that only the people you approve can receive or discuss your medical information.

Why You Need a HIPAA Waiver

Without a signed HIPAA Authorization, even close family members may be denied access to your health records—making it harder for them to:

• Coordinate your care

• Make informed medical decisions on your behalf

• Handle insurance issues or billing

• Communicate with doctors and healthcare providers

A HIPAA Authorization Form is a simple but essential part of your overall health and estate planning—especially when paired with documents like an Advance Directive or Healthcare Power of Attorney.

Affordable, Attorney-Backed Document Support

At Encompass Pro Se, we make it easy to create a clear, legally compliant HIPAA Authorization Form. All of our documents are reviewed by a licensed Florida attorney, giving you confidence that your privacy is protected and your wishes are honored.

We’ll help you specify exactly who can access your records, under what circumstances, and for what purposes—so your information stays in the right hands.

Call Encompass Pro Se at 321-389-9897 to get started or to update your HIPAA Authorization Form today.

Protect your health privacy. Stay in control of your information—no matter what the future holds.