{"product_id":"hipaa-authorization-revocation","title":"HIPAA Authorization Revocation","description":"\u003cp\u003eThe Harner Legal Forms \u003cstrong\u003eHIPAA Authorization Revocation\u003c\/strong\u003e is an attorney-prepared, downloadable legal form for withdrawing a prior written HIPAA authorization that allowed specified people or organizations to use or disclose protected health information.\u003c\/p\u003e\u003cp\u003eThe package includes both a Revocation and a separate Notice of Revocation. The Revocation identifies the individual, the prior HIPAA authorization, and the person or organization previously authorized to receive protected health information. The Notice can then be sent to healthcare providers, health plans, facilities, business associates, and other recipients that may have relied on the prior authorization.\u003c\/p\u003e\u003cp\u003eA revocation generally becomes effective as to a covered entity when that entity receives the written revocation, and it generally does not undo disclosures or other actions already taken in reasonable reliance on the prior authorization. The included instructions explain how to identify the prior authorization, prepare notices for recipients, document delivery, and retain records of what was sent.\u003c\/p\u003e\u003cp\u003e\u003cstrong\u003eWhat’s included\u003c\/strong\u003e\u003c\/p\u003e\u003cul\u003e\n\u003cli\u003eHIPAA Authorization Revocation form\u003c\/li\u003e\n\u003cli\u003eNotice of Revocation form\u003c\/li\u003e\n\u003cli\u003eStep-by-step instructions for completing, signing, delivering, and documenting the revocation\u003c\/li\u003e\n\u003c\/ul\u003e\u003cp\u003e\u003cstrong\u003eKey features\u003c\/strong\u003e\u003c\/p\u003e\u003cul\u003e\n\u003cli\u003eAttorney-prepared and professionally formatted\u003c\/li\u003e\n\u003cli\u003eRevokes a prior HIPAA Authorization in writing\u003c\/li\u003e\n\u003cli\u003eIncludes a separate Notice of Revocation for healthcare providers and other recipients\u003c\/li\u003e\n\u003cli\u003eHelps document delivery and notice\u003c\/li\u003e\n\u003cli\u003eEasy-to-complete fill-in format\u003c\/li\u003e\n\u003cli\u003eInstant digital download\u003c\/li\u003e\n\u003c\/ul\u003e\u003cp\u003eFederal HIPAA rules, state medical-privacy laws, and recipient procedures may affect the scope and effectiveness of a revocation. Review the included instructions and any applicable state-specific requirements before completing and using the form.\u003c\/p\u003e","brand":"Harner Legal Forms","offers":[{"title":"Default Title","offer_id":48403313033422,"sku":"HF-HIPAA-REV-DL","price":7.99,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0666\/6066\/3502\/files\/HIPAA-Authorization-Revocation-Product-Image.jpg?v=1790563673","url":"https:\/\/harnerlegalforms.com\/products\/hipaa-authorization-revocation","provider":"Harner Legal Forms","version":"1.0","type":"link"}