Medical Authorization Form Template

Using an online medical authorization form is just what your healthcare center needs? Customize this pre-made template in your 123FormBuilder account.

About this template

The medical authorization form can be used by a patient, or a caregiver of a patient, and signed to give permission to a doctor to conduct a medical procedure. If you’re a healthcare organization you can use this Medical Authorization Form to seamlessly collect contact details and e-signatures online using our form builder. When you upgrade to a superior plan, you can add an extra layer of protection in accordance with HIPAA regulations. See more details here about our HIPAA-compliant form builder.

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