Madisonpodiatrists - Authorization to Discuss Medical Information

AUTHORIZATION TO DISCUSS MEDICAL INFORMATION
I hereby authorize you to use or disclose the specific information described below, only for the purposes and parties also described below.
FULL DISCLOSUREAppointment Date/TimesDiagnosisX-ray ResultsMedicationsLab Tests/ResultsSummary of Medical RecordCare PlanBillingOther (specify)
Patient Name
Date of Birth

MonthDayYear
Date
Information to be given to:
Name
Relationship
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
NO EXPIRATION DATESpecify expiration date/event:
By signing this authorization, I acknowledge that I have read the REVERSE side and I release the above institution(s) and/or person(s) from legal responsibilities or liability that may arise from this act.
Signature of Patient

Clear
Signature of Authorized Person ( Only pertains to minor children or those with Health Care Power of Attorney )

Clear
Date

MonthDayYear
Date
Date

MonthDayYear
Date
Printed Name of Authorized Person
Legal AuthorityLegal GuardianParent of MinorNext of KinPower of Attorney
Should be Empty:

AUTHORIZATION TO DISCUSS MEDICAL INFORMATION