HIPAA - Authorization to Permit Interview of Treating Physician by Defense Counsel

New York State Courts · Civil Lawsuits

Copy of the court's form from nycourts.gov, taken October 21, 2026. See it on the court's site ↗

Authorization (form UCS-575) signed by a plaintiff in a personal injury or malpractice lawsuit allowing a treating physician to discuss specified medical conditions with defense counsel; the physician is not required to agree to the interview.