Authorization to Release Information is a 1-page legal document that was released by the U.S. Department of the Interior - Bureau of Indian Affairs on January 1, 2018 and used nation-wide.
Q: What is an Authorization to Release Information?
A: An Authorization to Release Information is a document that allows an individual or organization to share your personal information with someone else.
Q: Why would I need an Authorization to Release Information?
A: You may need an Authorization to Release Information if you want someone else to access your personal information, such as a doctor sharing your medical records with another healthcare provider.
Q: Who can I give authorization to release information to?
A: You can give authorization to release information to any individual or organization that you trust to handle your personal information responsibly.
Q: What information can be released with an authorization?
A: The specific information that can be released will depend on what you specify in the authorization document. You have control over what information is shared.
Q: How long is an authorization valid for?
A: The validity period of an authorization will be specified in the document. It can range from a single instance to a set period of time.
Q: Can I revoke an authorization?
A: Yes, you can revoke an authorization at any time by notifying the individual or organization in writing. Make sure to keep a copy of the revocation for your records.
Form Details:
Download a printable version of the form by clicking the link below or browse more legal forms and templates provided by the issuing department.