Client Records Authorization

CLIENT RECORDS AUTHORIZATION. This is a written consent form that allows a client to authorize their attorney to obtain a broad range of personal, medical, financial, and governmental records on the client’s behalf. By signing this authorization, the client permits disclosure of physicians’ and hospital records, including diagnoses, treatment, and prognoses; police, investigative, insurance, and accident reports; income and financial records such as payroll information, tax returns, and Social Security earnings records; and records held by federal, state, or local agencies. The form expressly revokes any prior authorizations and limits disclosure to the client’s attorney or the attorney’s representatives. www.FormsWorkflow.com