As the health care industry's most comprehensive library of customizable policy and procedure templates, MCN Healthcare's HIPAA Guidelines Policy and Procedure Manual includes this customizable template, Waiver of Authorization Form. MCN's policy library helps you meet compliance with Joint Commission and federal regulations including CMS, CDC, OSHA, OIG, HIPAA and more.

Health care organizations around the world utilize MCN's compliant ready templates and workflow process tools to help them meet the latest changes in regulations and standards.

Here is some sample content from Waiver of Authorization Form:

	WAIVER OF AUTHORIZATION I, for the use of confidential healthcare information. authorized to provide this information to individuals or organizations for: Marketing of health or non-healthcare related items or services by the hospital Sale, rental or barter For use in the marketing of life or casualty insurance or for banking services Determining eligibility for enrollment in a health plan Determining eligibility for employment Fundraising purposes SIGNATURES: Patient/Legal Representative: Hospital Representative: 1 Reference #1020...
Second excerpt:
	... Hospital Representative: 1 Reference #1020...