HIPAA Authorization Form
Formatted for Your State
Only $49
Answer a few simple questions and get a HIPAA Authorization formatted for your state, with signing instructions.
Start your HIPAA Authorization
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Documents are prepared for all 50 states and DC, formatted for the state you select.
Available Products
HIPAA Authorization
HIPAA Authorization
One-time, state-specific
State-specificHIPAA Authorization Guide
What Is the Purpose of a HIPAA Authorization?
Privacy rules limit who can see your medical records. This document gives permission to the family members or agents you choose.
Why people create one
It lets loved ones speak with your doctors and get updates when you need help.
Works with your directive
It pairs well with a Healthcare Directive, so your agent can see the information they need.
How to Create a HIPAA Authorization
- 1
Answer simple questions
Tell us who you are and the choices you want written into your document.
- 2
Review your document
Read through it and make edits anytime while your access is active.
- 3
Sign as instructed
Sign following the included instructions. Online notarization is available as an optional add-on.
- 4
Store and share
Keep your document in your secure dashboard and share copies with the people you named.
Advantages and Considerations
Advantages
- Lets chosen people access medical information
- Helps family speak with your doctors
- Works with your Healthcare Directive
- Can be revoked anytime
Things to keep in mind
- Give copies to your doctors
- Update it when your contacts change
- It does not let anyone make decisions for you
This information is general and educational. WillOnline is not a law firm and does not provide legal advice.
Why Pay More for Estate Planning?
Hiring a Lawyer
$200-$400
Weeks of appointments
In-person meetings
Hourly billing
Pay per revision
Online with Us
$49flat fee
Complete at your own pace from home
From anywhere
Transparent price
Document accuracy guarantee
Personalized
For your situation
State-Compliant
Formatted for your state
30 Minutes
Fast, simple process
Save thousands with a document prepared online
* Costs are based on average US attorney fees for a standard HIPAA Authorization. WillOnline.com is a DIY software platform, not a law firm, and does not provide legal advice.
Over the past 7 days, 63 users started their estate planning paperwork online this week.
Save your time and money with us
Why Pay More for Estate Planning?
Hiring a Lawyer
$200-$400
Weeks of appointments
In-person meetings
Hourly billing
Pay per revision
Online with Us
$49flat fee
Complete at your own pace from home
From anywhere
Transparent price
Document accuracy guarantee
Save thousands with a document prepared online
Personalized
For your situation
State-Compliant
Meets Texas requirements
30 Minutes
Fast, simple
* Costs are based on average US attorney fees for a standard HIPAA Authorization. WillOnline.com is a DIY software platform, not a law firm, and does not provide legal advice.
Just answer simple questions, the system generates a state-specific document package
Save your progress and finish anytime.
Answer a few clear questions about family and assets. Based on the responses, the system automatically generates a complete set of documents tailored to the state's requirements.
- Simple guided questionnaire
- Step-by-step guidance at every stage
- Pause anytime, resume from any device
- Includes step-by-step signing instructions
Who can receive your medical information?
This document is made by , of the County of , State of .
I. AUTHORIZATION
I authorize my healthcare providers to share my protected health information with the persons named below.
II. DURATION
This authorization remains in effect until I revoke it in writing.
What happens if you don't have a plan?
Without proper estate planning, courts decide who gets your assets. Your family could face months of costly probate, family disputes, and unnecessary stress during an already difficult time.
Don't let that happen. In a few minutes, you can put your wishes in writing with a HIPAA Authorization, for $49.
Online estate planning families rely on
Thousands choose us every week - see why families trust us with their legacy
How it works
When to create a HIPAA Authorization
Common life changes when people create or update this document.
Buying a home to plan how the property passes on.
Marriage or divorce to reflect your current wishes.
Having children to plan for your family's future.
Approaching retirement to align your documents with your plan.
Moving to a new state to use forms formatted for your new state.
Creating a trust to complete your plan with a HIPAA Authorization.
A major life event such as a loss or a health change.
Every 3 to 5 years to keep your documents up to date.
This document is one part of a complete estate plan. Many families combine it with a trust or a will.
Have any doubts or questions?
We're always happy to answer any questions about our service.
Complete Estate Planning Solutions
Your trust, your medical wishes, and your property, organized in one place
Your Trust & Estate Documents
The foundation of your plan: choose a trust, a will, or both.
- Revocable Living TrustDesigned to avoid probate
- Joint Living TrustOne shared trust for married couples
- Pour-Over WillCatches assets left outside the trust
- Last Will & TestamentName heirs and a guardian for your children
Healthcare & Financial Documents
Name who may speak for you on medical and financial matters.
- Financial Power of AttorneyA trusted person for financial matters
- Healthcare DirectiveYour medical preferences and healthcare agent
- HIPAA AuthorizationAccess to your medical information when needed
Real Estate Deeds
Documents to transfer real estate, including into your trust.
- Quitclaim DeedTransfer property between known parties
- Warranty DeedTransfer title with full guarantee
- Transfer on Death (TOD) DeedName who receives your home
- Lady Bird DeedKeep control during your lifetime
Notarization, Printing & Shipping
Finish your documents and get them in hand.
- Online NotarizationNotarize your documents online with a commissioned notary
- Printing & ShippingPrinted copies delivered to your door
Planning & Administration Tools
One secure dashboard to create, edit, print, and store every document, with a built-in vault for asset details and instructions for your heirs.
Not sure which plan you need?
Build Your Own Estate Plan
No guesswork. Choose only the documents you need and pay only for those, step by step.
Documents and prices are based on the state you select.
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Good to know
Requirements for signing, witnesses and notarization vary by state. Your document comes with instructions for the state you select.
What Our Customers Say
Join thousands of families who have protected their future
"I expected a long, complicated process but ended up with everything ready in less than a day. No confusion, no back-and-forth."
Patricia K., 58, Orlando, FL
"I saved a bundle compared to hiring a traditional attorney, and the result is professional and thorough. I couldn't be more pleased."
Linda R., 62, Tampa, FL
"I was worried that doing this online would feel risky, but the process was extremely well organised, intuitive and quick."
Thomas L., 71, Jacksonville, FL
Common questions answered
Still unsure? Read through our FAQ or chat with our support team - we're here to help.
Still have questions?
Our support team is available 7 days a week to help you with any questions about estate planning.
Don't wait until it's too late
Every day without a plan is a day your family is unprotected. Create your HIPAA Authorization today, in a few minutes.
If a document we prepare contains a verified error, we correct it or refund you. Details are in our Refund Policy.