HIPAA (Health Insurance Portability & Accountability Act)

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 for release of health information under HIPAA (OCA Official Form 960), approved by the State Department of Health, by which a patient or representative lets a provider release medical records to a named person.