Free HIPAA Authorization Form Template

# HIPAA Authorization

**Patient:** {{patientName}}
**Provider:** {{providerName}}
**Date:** {{date}}

## Information to Disclose

{{informationTypes}}

## Recipient

{{recipientName}} ({{recipientOrg}})

## Purpose

{{purpose}}

## Expiration

This authorization expires on {{expirationDate}}.

## Right to Revoke

I may revoke this authorization in writing at any time.

curl -X POST https://signb.ee/api/send \
  -H "Authorization: Bearer YOUR_API_KEY" \
  -H "Content-Type: application/json" \
  -d '{
    "content": "YOUR_RENDERED_MARKDOWN",
    "senderName": "Your Name",
    "senderEmail": "you@company.com",
    "recipientName": "Recipient",
    "recipientEmail": "recipient@email.com"
  }'