HIPAA Authorization » Document Acquisition Service

Skip to content

HIPAA AUTHORIZATION

Clients of the Attorneys who have hired us to retrieve records for their case may complete a HIPAA Authorization here.

Report Issues

Can't get something to work?

Just write down some details and our customer success heroes will get back to you in a jiffy!

Name

Company/Organization

Phone No.

Email Address(Required)

Issue Details:(Required)

Issue Details(Required)

Upload Images/Files

Drop files here or

Max. file size: 128 MB, Max. files: 10.

Upload any supporting documentation you may have of the issue.

CAPTCHA

© 2024 Document Acquisition Service
All Rights Reserved

Scroll to Top

Are You Sure?

Any unsubmitted information you have entered will be lost when you leave this page and you will be taken to the Client Center Dashboard.