Start with the access you want to allow
Consider who may need information from your healthcare providers and for what purpose. You might want one person to receive information while you are able to make your own decisions, or want a trusted person to have access if coordinating care becomes more difficult. Name the people you intend to authorize and consider whether the same permission should apply broadly or be limited to particular information or circumstances.
Think about duration at the same time as scope. Ask whether the authorization should remain in place until a stated event or date, or whether you want a different way to describe when it ends. The point is to make your intent understandable, rather than leaving recipients or providers to guess who may receive information and for how long.
- List each intended recipient and their relationship to you.
- Note the information or circumstances you want the authorization to cover.
- Write down when you want the permission to begin and end, if you have a preference.
Separate information access from decision-making
A HIPAA authorization does not, on its own, appoint someone to make healthcare decisions for you. Healthcare decision-making authority is a separate question addressed through appropriate planning documents. Under federal HIPAA guidance, a person’s authority under state law may make them a personal representative for HIPAA purposes; a separate information-sharing authorization alone does not create that authority.
This distinction matters when coordinating a HIPAA authorization with a healthcare power of attorney or an advance directive. Tennessee’s Advance Directive for Health Care form addresses an agent or alternate and healthcare preferences. Consider whether the people and roles named across your documents fit together, rather than treating permission to receive information as interchangeable with authority to make decisions.
Prepare a document and role checklist
Before discussing revisions or preparation, gather your current HIPAA authorization, if you have one, along with your healthcare power of attorney and advance directive. Make a simple comparison table with columns for document, named person, role, scope, and duration. Mark any differences—for example, a person listed to receive information who is not the person you expect to make healthcare decisions.
Bring questions about how you want providers to use the authorization, whether it should cover more than one recipient, and how it should fit with your other documents. If your preferences or relationships have changed, identify what you want updated rather than assuming an older document still reflects your wishes.
Plan from Thompson's Station
Dale Law Group, PLLC offers HIPAA authorization planning as part of its Tennessee estate-planning services. The firm’s office is in Murfreesboro; this page does not imply an office in Thompson's Station. You can use the recipient-and-role checklist to organize a discussion about the authorization alongside your healthcare planning documents.
Questions to bring to the discussion
Does a HIPAA authorization let someone make healthcare decisions for me?
Not by itself. It addresses permission to share health information. Healthcare decision-making authority is a separate matter; state-law authority can also affect whether someone is a HIPAA personal representative.
What should I decide before preparing or updating an authorization?
Identify who should receive information, what information or circumstances the permission should cover, and how long it should last. Compare those choices with the people and roles in your healthcare power of attorney and advance directive.
Discuss your next step with Dale Law Group
Begin with a brief, non-confidential overview. The firm will discuss your needs and appointment arrangements.
General information, not advice for a particular situation. Sending an inquiry does not create an attorney-client relationship.