Medical Records Authorization for Personal Injury Settlement
About this free form template

Simplify Medical Records Requests for Personal Injury Cases

When you're pursuing a personal injury settlement, securing comprehensive medical records is critical to building a strong case. This Medical Records Authorization for Personal Injury Settlement template makes it easy for law firms, insurance companies, and healthcare providers to collect all necessary documentation—from injury reports and treatment timelines to prognosis statements and billing records—in one streamlined, GDPR-compliant form.

Whether you're a personal injury attorney gathering evidence, an insurance adjuster evaluating claims, or a medical office responding to record requests, Paperform gives you a professional, legally sound solution that collects information accurately and securely.

Built for Legal and Healthcare Workflows

This template is designed specifically for the intersection of healthcare and legal services. It includes all the standard fields required for HIPAA-compliant authorization forms, plus conditional logic that adapts based on the type of records being requested. Patients can specify injury details, treatment providers, date ranges, and billing information, while you maintain full control over data security and audit trails.

Use conditional fields to show or hide sections based on the complexity of the case, and customize the language to match your jurisdiction's requirements. The form works seamlessly as a standalone landing page or embedded directly into your firm's website.

Automate Follow-Ups with Stepper

Once a records request is submitted, you can use Stepper—Paperform's AI-native workflow builder—to automatically route requests to the right medical facilities, update your case management system, notify your legal team, and even send follow-up reminders if records haven't been received within a set timeframe. This reduces manual coordination and keeps your cases moving forward faster.

Secure eSignatures with Papersign

Need legally binding signatures on authorization forms? Use Papersign to turn each submission into a fully executed consent document. Patients can review and sign electronically, and you'll have a complete audit trail linked back to the original form—perfect for compliance and court documentation.

Trusted by Legal and Medical Professionals

With SOC 2 Type II compliance, flexible data residency controls, and robust integrations with tools like Clio, HubSpot, Google Sheets, and Slack, Paperform is trusted by law firms, insurance companies, and healthcare administrators who need professional forms without the complexity of custom development.

Get started today and streamline your personal injury case documentation with a form that's as thorough as your legal work.

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michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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