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Organ Donation Form
Use this form to state your intent to donate organs and tissues. You may also instruct that your donation be used for such purposes as transplantation, education, or research.
Medical Records Request
If you've moved, have a child going away to college, or are simply switching practitioners, you may need to request copies of your or your child's medical records. A Medical Records Request can help you do just that. Your doctor cannot legally release your information without your approval, but a Medical Records Request can help free up your records so that you can send them where they need to go.
Living Will
A Living Will is a legal document that outlines your wishes with regard to health care, such as your request for or refusal of certain medical treatments or procedures, along with the (optional) selection of a chosen agent or decision maker. The individual making a Living Will is known as the "principal," and the individual or entity receiving authority to carry out the principal's wishes is called the "agent." Any Living Will form from Rocket Lawyer can be modified to address your unique scenario. As a result of this legal document, your health care providers will have a point of reference for your decisions, and your agent(s) will be able to provide confirmation that they have the authority to make choices for you.
Advance Directive
An Advance Directive is a legal document that sets forth your preferences related to health care, such as your refusal of or request for medical treatment, or the selection of a chosen healthcare agent. The person making an Advance Directive is known as the "principal," and the person or organization obtaining authority to carry out the principal's wishes is called the "agent." Each Advance Healthcare Directive from Rocket Lawyer can be modified for your specific scenario. This official legal document provides a record of your decisions to healthcare facilities, and it will certify that your selected agent has been authorized to make choices for you when you are not able.
Medical Power of Attorney
A Healthcare aka Medical Power of Attorney is a legal document that gives a trusted person or entity the authority to make medical decisions on your behalf, if you are incapacitated or cannot do so on your own. This person, called an "agent," will be able to make choices for you such as whether you should be admitted into a care facility, whether you'll receive experimental treatments, or if your medical providers will be allowed to connect you to machines to keep you alive. Made for all states, the Medical PoA forms from Rocket Lawyer can be completely customized for your particular situation. With this official legal document on hand, your agent can provide confirmation to healthcare providers and other parties that they can legally act in your interest.
Do-Not-Resuscitate Guide
Sometimes you cannot make decisions about your health care, like whether or not you're resuscitated in an emergency, but with a Do-Not-Resuscitate (DNR) Guide you can empower yourself before something happens. Getting a Do-Not-Resuscitate Guide helps you make an informed decision. It's never easy to plan for worst case scenarios, but you can get information and help in making a decision with a Do-Not-Resuscitate Guide. Many states have passed legislation or regulations that provide a "prehospital DNR program," which means that a physician's DNR order can be honored outside of the hospital setting. With a Do-Not-Resuscitate Guide you can think about possibilities in advance. If the worst happens, you want your wishes granted. Choosing a DNR program means that medical professionals can legally withhold certain treatments according to what you've decided. You should also talk to your family about your wishes. Getting a Do-Not-Resuscitate Guide helps you open a discussion with your loved ones, and make a choice that is right for you.
Known Donor Insemination Agreement
Use this Known Donor Insemination Agreement to outline the agreement between a biological mother and a sperm donor. This Agreement allows the parties to define all aspects of the relationship including how future contact with the child will be handled.
Mental Health Power of Attorney
A Mental Health Power of Attorney is a legal document that grants a selected individual or entity permission to make mental healthcare decisions for you, such as admitting you into a facility and refusing or accepting certain treatments. The individual granting control is known as the "principal," and the people or entities receiving powers are known as the "agents." Designed for all U.S. residents, Mental Health Power of Attorney forms from Rocket Lawyer can be fully customized for your specific scenario. As a result of this official document, your agent can provide confirmation to healthcare providers and other parties that they can legally act in your interest when you are not able.
HIPAA Authorization Form
HIPAA Release Forms allow you to provide others access to your protected medical records, most often to other doctors or care providers. However, this form can also be used to release your medical information to a specific person.
Letter to Request a Referral to Another Doctor
A Letter to Request a Referral to Another Doctor can help you if you need to see a specialist. Oftentimes your insurance company, or hospital, will require you have a referral from your general practitioner in order to see a specialist. A Letter to Request a Referral to Another Doctor can help you get that process started and moving in the right direction. No matter how capable your family physician is you may need to see a specialist at some point. A Letter to Request a Referral to Another Doctor can help you see the doctor you need and stay within the boundaries of your insurance coverage. If your insurance has restrictions on whom you can see and when, it can be important to work within those guidelines. Having a referral from your doctor can help back you up if your insurance company challenges the need to see a specialists - or if they simply require it. A Letter to Request a Referral to Another Doctor is a good first step to ensuring you can see the specialist you need to.
Hospital Visitation Authorization
If you want to make sure someone can visit you in the hospital, you may need a Hospital Visitation Authorization. Oftentimes non-family members can be prevented from making hospital visits, but having a signed authorization can help you avoid any complications. A Hospital Visitation Authorization helps you bypass red tape so your friends can support you in person. Planning for worst case scenarios isn't always pleasant, but a Hospital Visitation Authorization can be very important. Hospitals have strict rules and, much of the time, only family can visit patients. Furthermore, states can use a very narrow definition of family. What if you want your partner to be able to visit? What about your boyfriend or best friend? You have your own definition of family, but you have to make sure the hospital knows about it - and it's in writing. If everyone your authorizing has a copy of the document it can help make tough situations a little easier. A Hospital Visitation Authorization helps make sure your visitors can make it.
Mental Health Declaration and Power of Attorney
A Mental Health Declaration and Power of Attorney is a legal document that gives someone else permission to make mental healthcare decisions on your behalf, such as refusing or accepting certain medical treatments or procedures, if you cannot do so. The person granting permission is known as the "principal," while the individual or organization obtaining powers is known as the "agent." Suited for residents of all states, all Mental Health Declaration and PoA forms from Rocket Lawyer can be customized for your unique situation. As a result of having this essential document, your agent can offer proof to medical institutions and other parties that they can legally make choices for you.
Refuse Organ Donation Form
A Refuse Organ Donation Form helps ensure that your wishes are respected after you pass. There are many reasons why you could want to prevent your organs from being donated but the decision should probably be in writing. A Refuse Organ Donation Form helps you formally document your requests. It can be important to openly discuss post-mortem plans with your family and loved ones. A Refuse Organ Donation Form can help document those plans in an official capacity. Deciding whether or not to donate your organs and tissue is an important decision - and you're well within your rights to refuse. If you've already decided you don't want to donate, talk to your family and give them a formal copy of your wishes. Having everything in writing makes the matter simple for your family and helps ensure your wishes are clear and understood. Having a Refuse Organ Donation Form is a great start to making your decision official.
Birth Plan
A Birth Plan is a short, simple document that details childbirth and postpartum preferences. The person giving birth usually makes the Birth Plan, though it can also be made with assistance of a partner or a doula. Functioning as a checklist of topics to consider before giving birth, the Birth Plan will cover where you are giving birth and who is on your birth team, as well as what your preferences are for labor, delivery, cesarean birth, and any interventions. It will also outline visitor guidelines and instructions for care of the baby after birth. A copy of the birth plan should be given to everyone on the birth team, including your care providers and anyone else who will be in the room during labor and delivery. Before making a Birth Plan, it is helpful to know your due date or induction date, and where you plan for the baby to be born. Additionally, you should have some ideas of your preferences for what methods of pain management you'd be most comfortable with, whether you'd like the baby to stay with you, and if you want to breastfeed—though you are always able to change your mind later. It would also be good to check with the hospital or birthing center to verify that they can accommodate your preferences. If you are giving birth at home, talk to your midwife about your preferences. If you do not plan to have a scheduled c-section, you should also consider your preferences in case a cesarean delivery becomes necessary. A Birth Plan should help you cover your bases, so that your birth team will have a good idea of your preferences in a variety of possible situations.
Letter to Appeal a Medical Claim Denial
A Letter to Appeal a Medical Claim Denial can help you figure out why your claim wasn't approved and challenge that decision. There are many reasons why your medical claim may have been denied but if you feel the reason given to you was inadequate then it may be a good idea to challenge that decision. A Letter to Appeal a Medical Claim Denial is a first step to resolving the issue. Medical bills can be expensive, so don't pay out of pocket for costs that should be covered by your insurance. If your medical claim was denied then a Letter to Appeal a Medical Claim Denial can help you dispute that denial. You have a right to challenge decisions you believe are erroneous or are insufficiently explained. Sometimes, you can correct problems with a little more information: a letter from a doctor, or supplemental information about your claim or policy. No matter what the issue is, sending a Letter to Appeal a Medical Claim Denial can help you get answers, fix errors, and set things right.
Medical Records Transfer Form
This document provides a form for you to authorize the transfer of medical records from one health care provider to another.
Letter to File a Medical Claim
A Letter to File a Medical Claim provides you the means to submit your health care claim to an insurance company, HMO, or anywhere else that may require it. Sometimes your physician or other health care provider may not submit forms on your behalf. In such instances, a Letter to File a Medical Claim can help you easily resolve the matter yourself. A doctor's visit can cost a lot, even if you just went in for a checkup; a Letter to File a Medical Claim can help you avoid unnecessary costs in case your doctor's office makes a mistake filing your claim. You deserve the benefits you're paying for yourself or you're receiving from work. If your insurance company said they never received the claim, or if they haven't contributed their share, it can be a good idea to document the process yourself and ensure all your bases are covered. Your doctor's office may have run out of forms, or someone could have made a mistake; a Letter to File a Medical Claim helps you take steps to mitigate those errors.
Request for Information about an Insurance Denial
A Request for Information about an Insurance Denial is a direct way to figure out exactly why your claim was denied if you're considering making an appeal. The explanations of your benefits aren't always comprehensive and the stated reason for denial might not be valid, either way, you'll likely need all the information first. If you want to challenge the decision you can get started with a Request for Information about an Insurance Denial. Insurance isn't always the easiest thing to figure out, but a Request for Information about an Insurance Denial can get you on the right track. If you can't figure out why you were denied or if you want a more thorough explanation, you have a right to it. Maybe it has something to do with a medical condition or maybe there was a simple issue with your automatic payments that can be fixed. There are a number of reasons why your claim might have been denied and some of those may not be valid. You shouldn't be paying out of pocket for something that should be covered by your insurance. A Request for Information about an Insurance Denial can help you make sure you're getting a fair deal.
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