Authorization for Use or Disclosure of Health Information

Butte Superior Court · Criminal Forms

Verified current as of July 25, 2026

This form allows a person to give permission for their doctor, hospital, or other healthcare provider to share their medical records with someone else, such as a lawyer, insurance company, or family member. A person would need this form when they're involved in a court case and their medical information is relevant to the legal proceedings, or when they want to allow another person or organization to access their health records for a specific reason.