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	Maine Authorization to Disclose Health Information Forms

Your health and medical information is considered sensitive and private and is afforded protection under the law. However, there are circumstances when you may want to provide this information to another individual or entity (e.g. insurance companies, employers, etc.).

This form of Maine Authorization to Disclose Health Information allows you the flexibility to determine what types of information are to be released and under what circumstances. In addition, this Maine Authorization to Disclose Health Information form complies with the HIPAA (Health Insurance Portability and Accountability Act) Privacy Rules.

Maine Authorization to Disclose Health Information form can be used in all states.

Maine Authorization to Disclose Health Information package contains:

1. Instructions and Checklist for the Authorization to Disclose Health Information (the "Authorization");
2. Information regarding the Authorization; and (3) the Authorization.