What this draft covers
HIPAA authorization
Let a chosen person see your medical information.
- Patient and recipient
- What records may be released
- Purpose and an end date
- Revocation notice and signature
FREE FILLABLE PDF
Free HIPAA authorization form
Download a free fillable HIPAA release PDF so a person you name can see medical records.
Disclaimer
Read this first. These are free general nationwide drafts. They are not state statutory forms, not legal advice, and not a substitute for an attorney. Filling one in does not, by itself, create a valid estate plan.
Laws and signing rules differ by state. Some states require exact wording, two witnesses, a notary, or a statutory form. Have a licensed attorney in your state review anything you download, and follow that state's witnessing and notarization rules.
ForeverVault is not a law firm and does not represent you. See the disclaimer. If you want counsel, find an estate planning attorney.
Use it this way
Fill, print, sign, store
Type in the PDF fields or print a blank copy. Sign only the way your state requires. Keep the original. Upload a copy to your vault so family can find it.
Other free forms
All four drafts are free fillable PDFs.
Durable financial power of attorney
Name someone to handle money, property, taxes, and accounts if you cannot.
Medical power of attorney
Name someone to make health-care decisions if you cannot speak for yourself.
Free forms, frequently asked
Are these estate planning forms free?
Yes. The durable financial power of attorney, medical power of attorney, living will, and HIPAA authorization are free fillable PDFs. No ForeverVault account is required to download them.
Are these fillable PDFs?
Yes. Open the PDF in a browser or a PDF reader, type in the fields, then print and sign. You can also print a blank copy and write by hand.
Are these forms valid in every state?
No. They are general nationwide drafts, not state statutory forms. Signing rules, required wording, witnesses, and notarization differ by state. Have a licensed attorney in your state review the paper before you rely on it.
Is ForeverVault a law firm?
No. ForeverVault is not a law firm and does not give legal advice or represent you. These drafts are for getting organized. Find an attorney if you want counsel.
Do I need an attorney to use these forms?
You should have a licensed attorney in your state review anything you download. A filled-in draft is not, by itself, a finished estate plan.
Where should I keep the signed form?
Keep the signed original where your attorney or state rules require. Upload a current copy to a ForeverVault account so the people you choose can find it. A scanned copy does not replace the original.
Get the form reviewed. Then store it.
Find an estate planning attorney near you. Keep the signed original. Put a copy in your vault.