Health Authorizations

Your medical history is required for this lawsuit.

If you do not have access to your records, please complete the below health authorizations and our health records staff will do everything for you at no additional upfront costs.

It’s simple and takes less than 30 seconds:

  1. Input your information below
  2. Click “Next” at the bottom of the form
  3. Create your signature by clicking “Accept and sign”
  4. Then click “Next” to get to the next signature line