The HIPAA Authorization and Waiver is a “stand-alone” document to authorize your health care providers to release information concerning your otherwise confidential medical information to the individuals you have designated to act on your behalf in the event of disability and to any other individuals who you would also want to have such access. Please note that state law requires that the form be generated in “14-point typeface”.
La Jolla Mobile Notary provides access to forms drafted by independent attorneys. La Jolla Mobile Notary is not a law firm and does not provide legal advice, except we are providing access to legal documents drafted by an independent CA Attorney. We do not guarantee the accuracy, completeness or reliability of the provided on this website. It is important to understand that the laws and regulations may vary by jurisdiction, and the forms provided may not be suitable for your specific situation. We strongly recommend seeking legal advice from a licensed attorney. By using this site and downloading any forms, you acknowledge and agree we are not responsible for any legal consequences that may arise.