Arizona Authorization to Release Confidential Information
This Authorization to Release Confidential Information is designed for use in Arizona and is available for immediate download. This legal form allows an individual to authorize the release of specific types of confidential information as outlined.
This Authorization to Release Confidential Information will ensure that only the information you specify is released on your behalf. This authorization can be given to a physician, attorney, hospital, clinic or school to release confidential information on your behalf. The types of confidential information to be released can vary from financial, educational and legal to your social interactions, both online and in person. This Authorization to Release Confidential Information is beneficial because it protects not only your privacy but contains an expiration date and can be revoked at any time.
These important provisions are included in this Arizona Authorization to Release Confidential Information:
Protect Yourself and your Rights by using our professionally prepared up-to-date forms.
This attorney prepared packet includes:
These important provisions are included in this Arizona Authorization to Release Confidential Information:
- Authorization Information: Indicates the name and address of the individual authorizing release of the information and the individual or entity who is authorized to release the confidential information;
- Types of Confidential Information: Sets forth a checklist covering many types of confidential information;
- Purpose of Use: Outlines the purposes for which the confidential information may be used;
- Revocation and Expiration Dates: The authorization expires on a specified date and may be revoked at any time.
Protect Yourself and your Rights by using our professionally prepared up-to-date forms.
This attorney prepared packet includes:
- General Information
- Instructions and Checklist
- Authorization to Release Confidential Information for use in Arizona
Number of Pages6
DimensionsDesigned for Letter Size (8.5" x 11")
EditableYes (.doc, .wpd and .rtf)
UsageUnlimited number of prints
Product number#38846