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HIPAA Authorization Form for Parents

Learn about what a HIPAA Authorization Form for Parents is and why such a form is important when it comes to the medical treatment of your minor child by reading this mini-guide.

Matt Olivares avatar

By Matt Olivares on Aug 2, 2025.

Fact Checked by Nate Lacson.

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HIPAA Authorization Form for Parents Template

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Commonly asked questions

If the child has a single parent, then the form only requires the signature of that parent. If the child is under joint custody, both parents must sign the form.

Yes. Parents or guardians can choose to revoke the form. They can do so using the same form if it has a revocation clause or through a separate form for revocation. Do note that once it has been revoked, formerly authorized individuals will no longer have access to the child’s medical information.

That depends on the clause on the form. Some forms are only for one-time use. Some are valid until the parents revoke the access rights or the child becomes an adult.

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