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Letter and Authorization to Obtain Medical Records and Billing Information

This authorization grants an attorney access to his/her client's medical and billing information. In addition, this kit includes a coverletter to accompany the authorization.

This attorney-prepared packet contains:
  1. Information on Filling out an Authorization to Obtain Medical Records and Billing information forms
  2. Cover letter for Authorization to Obtain Medical Records and Billing information form
  3. Authorization to Obtain Medical Records and Billing information form
State Law Compliance: Designed for use in all states

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$15.95

An attorney would charge
$252.50 to draft this form*

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Product Specifications

Product Letter and Authorization to Obtain Medical Records and Billing Information
State All
Pages 3
Dimensions Designed for Letter Size (8.5" x 11")
Printer compatibility Designed to print on all ink-jet and laser printers
Sample Available (requires Flash plug-in)
Editable Yes (.doc, .wpd and .rtf)
Format Microsoft Word
Adobe PDF
WordPerfect
Rich Text Format
Platform Windows Compatible
Mac Compatible
Linux Compatible
Availability In Stock. Instant Download
Usage Unlimited number of prints
Category Releases
Product number #28073
Download time Less than 1 minute (approx.)
Document Access Via secret online address
Email with download links
Email with attachment upon request
Refund Policy 60 days, no-questions asked, 100% money back guarantee
Support Customer support 1-800-959-5899
Online support
Additional Help
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* According to the 2007 Altman Weil Survey of Law Firm Economics, the average attorney rate is $252.50 per hour.