You will be able to download this HIPPA Privacy Authorization Form fillable PDF document immediately. In order for the fillable fields on the document to work, you must have a PDF reader installed on your computer or mobile device.
This document can also be printed as is so you can fill in the blanks by hand writing the required information. You do not need to use it as a fillable PDF.
This PDF version of the HIPPA Privacy Authorization Form is FREE. For the free Word version of this document, visit our HIPPA Privacy Authorization Form page.
Some of the fields on this form may not be fillable. Some fields require a signature, date, or other information that must be hand written.
You can either print the document and fill in the blanks by hand or enter the information directly into the form. This is a “fillable” PDF. If you’re not familiar with fillable PDFs, the first time can be rather confusing. Here are a few tips for using the fillable form:
- Use a computer or laptop. The forms are rather difficult to use on a mobile device.
- To use a fillable PDF on a mobile device, you must have a PDF reader installed on the device.
- Use the keyboard Tab key to quickly move from one field to the next.
- If you’re not sure what information goes in a field, hover your mouse over the field. A tooltip will display the information that should be entered.