Health

This document template allows a Maryland resident to appoint a health care agent and provide instructions for end-of-life care.

This document template provides a Virginia resident with the ability to appoint an agent to make health care decisions, receive protected health information, and provide instructions for a terminal illness, as well as direct an anatomical gift.

This document template provides an advance directive for health care for a competent adult residing in Alabama, including instructions regarding particular health care treatments and notes and drafting tips.

This online document is a Georgia-specific advance directive that allows an individual to appoint an agent to make health care decisions on their behalf and provide instructions for particular treatments, including life-sustaining treatments, organ donation, and disposition of remains.

This document template allows a New Jersey resident to appoint a health care representative to make health care decisions, including instructions for life-sustaining treatments and end-of-life care.

This document template allows a Tennessee resident to appoint someone to make health care decisions, including instructions for life-sustaining treatments or end-of-life care.

This document template creates an advance health care directive in Oregon that allows an individual to appoint a health care representative and provide instructions for health care treatments, including end of life-care.

This document template allows a New Jersey resident to provide instructions to a health care provider regarding mental health medications, treatments, and admission into a mental health facility, and appoint a third party to make decisions if necessary, with integrated notes and drafting tips.

This document template allows a California resident to appoint an agent to make health care decisions and receive health care information, with the option to include instructions for particular treatments, including life-sustaining and end-of-life care.

This document allows an individual in New Hampshire to appoint an agent to make health care decisions and provide instructions regarding health care treatments, including the withholding or withdrawing of life-sustaining treatments.

An advance health care directive in Utah allows a declarant to express preferences for health care treatments and to appoint an agent to make decisions if the declarant is unable to do so, including directives for withholding or withdrawing life-sustaining treatments.

This document template allows an adult to authorize an agent to make health-care decisions and receive health information on their behalf, as well as provide written instructions for withholding or withdrawing life-sustaining treatments.

This document template allows individuals in Hawaii to provide written instructions and authorize an agent to make health-care decisions on their behalf, including directives for life-sustaining treatments or end-of-life care.

This document template allows a Mississippi resident to appoint an agent to make health-care decisions and receive health information on their behalf.

This document template provides a checklist for counsel to use during an initial estate planning conference with a client to ensure all essential issues are addressed and to serve as a reminder of any issues not discussed.

This template provides a notice to comply with HIPAA regulations regarding the availability of a plan's HIPAA notice of privacy practices.

This document is a notice from a COBRA-covered employee or beneficiary to the plan administrator regarding a second qualifying event.

This template provides a certificate of group health plan coverage based on a template published by the Department of Labor, with integrated notes for important explanations and drafting tips.

This template form provides employers with five or more employees a California-compliant medical certification for pregnancy disability leave (PDL), transfer, and/or reasonable accommodation in accordance with California law.

This is a template form for a California-compliant medical certification under the CFRA for a health care provider to certify an employee's serious health condition, updated to comply with the California Civil Rights Department as of July 1, 2022.

This online document provides a template for a code of conduct for a hospital or other health care provider to use as part of its compliance program, based on federal law and with integrated notes.

This template provides instructions and preferences for mental health treatment, including medications, treatments, and admission to a health care facility, to an attorney-in-fact and health care provider.

This document template provides instructions to a health care provider regarding psychoactive medications, convulsive treatment, and emergency mental health treatment, with integrated notes and drafting tips.

This document template allows individuals in Kansas to provide instructions regarding end-of-life care and life-sustaining treatments, commonly referred to as a living will.

This document template allows a Florida resident to appoint a health care surrogate to make health care decisions and receive health information on their behalf, with the option to include instructions for particular treatments, including life-sustaining and end-of-life care.

This document template allows individuals to provide instructions for medical treatment in the event of a terminal or irreversible condition, as well as express religious or moral considerations.

This online document provides a template for emergency medical care policy for hospitals and facilities without dedicated emergency departments, based on federal law and including ACA requirements.

This document template provides an easy way for employers to inform their employees about health insurance availability.

This template provides a form for the executive committee of a non-profit hospital or health care organization's board of directors to create a charter.

This document provides an outline template form for requesting certification of a serious injury or illness of a current military servicemember when an employee requests military caregiver leave under the Family and Medical Leave Act (FMLA).

This online document provides an outline template form for requesting certification of a family member's serious health condition under the Family and Medical Leave Act (FMLA) for employees requesting FMLA leave.

This template provides private employers with at least 50 employees a form to notify California employees of their eligibility for leave and their rights and responsibilities under the FMLA and CFRA, with integrated notes for important explanations and drafting tips.

This template provides a general job description for a Medical Director that can be tailored to the needs of hospitals, ASCs, and other health care facilities.

This template provides federal employers with a form to use when granting an exception to the COVID-19 vaccination requirement for employees with disabilities, based on federal law and a template drafted by the Safer Federal Workforce Task Force.

This authorization form allows an individual to provide permission to a covered entity under HIPAA to use or disclose their protected health information (PHI) for specific purposes, in accordance with HIPAA requirements but not necessarily state law.

This document template allows research subjects to authorize an organization conducting a clinical trial regulated by the FDA to use and disclose PHI under HIPAA regulations.

This template letter provides a way for HIPAA-covered entities to notify individuals of a breach involving unsecured PHI.

This template contract outlines the rules and regulations for a covered entity and its business associate to ensure the protection of PHI.

This document provides a template for a Business Associate Policy to meet the requirements of HIPAA for covered entities.

This paragraph describes a template contract for the disclosure of a limited data set between a HIPAA covered entity and recipient, as allowed by the HIPAA Privacy Rule.

This template policy outlines an entity's HIPAA compliance obligations when electing hybrid status under HIPAA.

This template provides an individual with a form to acknowledge receipt of a CE's Notice of Privacy Practices under HIPAA, with integrated notes containing important explanations and drafting tips.

This template notice provides a covered entity under HIPAA with a way to explain their privacy practices and how they may use and disclose an individual's protected health information, in compliance with HIPAA requirements, but not addressing state law requirements.

This document template provides a HIPAA-compliant NOPP for health care providers, outlining their privacy practices and how they may use and disclose an individual's PHI, but does not address any state law requirements.

This document template provides a customizable resource for authorizing the release of protected health information to third parties in accordance with HIPAA, with links to a Practice Note and integrated notes and drafting tips.

This document template authorizes the release of protected health information to third parties in accordance with HIPAA, and includes a link to a Practice Note regarding HIPAA releases in California.

This document template provides authorization for the release of protected health information to third parties, in accordance with HIPAA requirements, and includes a link to a Practice Note regarding HIPAA releases in Florida.

This document template authorizes the release of protected health information to third parties in accordance with HIPAA.

This document template provides authorization for the release of protected health information to third parties in accordance with HIPAA and includes a link to the Illinois statutory Simple power of attorney for health care.

This document template provides authorization for the release of protected health information to third parties in accordance with HIPAA, and includes a link to a Practice Note regarding HIPAA releases in Massachusetts.

This document template provides authorization for the release of protected health information to third parties, in accordance with HIPAA, and contains links to a document template regarding health care directives in New Jersey.

This document template provides authorization for the release of protected health information to third parties in accordance with HIPAA, and includes a link to a Practice Note regarding HIPAA releases in New York.

This document template authorizes the release of protected health information to third parties in accordance with HIPAA.

This document template authorizes the release of protected health information to third parties in accordance with HIPAA.

This template form complies with HIPAA and provides CEs with a request for access to individuals' PHI.

This template form allows individuals to request an accounting of disclosures of PHI from a HIPAA covered entity, and complies with HIPAA regulations but not state law requirements.

This template form complies with HIPAA and provides a document request for CEs to amend or correct individuals' PHI in accordance with HIPAA regulations.

This template provides an initial notice describing special enrollment rights for current employees and their dependents under HIPAA.

This template provides a collaborative practice contract between a physician and a nurse practitioner, and can also be used for other types of non-physician practitioners (NPPs).

This policy template provides a comprehensive guide for health care organizations to legally review and prepare contracts, request contracts, and obtain internal approval.

This document template allows a Minnesota resident to appoint a health care agent to make health care decisions and provide personal instructions regarding health care treatments, including life-sustaining treatments or end-of-life care.

This document template creates an advance health care directive in Washington, allowing a declarer to provide instructions for the withholding, withdrawing, or continued administration of life-sustaining treatment in the event of a terminal or irreversible condition.

This policy provides a template for health care entities to screen individuals and entities against exclusion lists to avoid penalties and sanctions.

This document template allows a South Carolina resident to appoint a health care agent to make health care decisions and receive health care information on their behalf, including instructions regarding particular health care treatments and directives regarding life-sustaining treatments or end-of-life care.

This contract provides professional medical services to a hospital or other facility, with terms that favor the facility party, and includes provisions to satisfy federal health care program requirements.

This document template allows Massachusetts residents to appoint a health care proxy to make health care decisions, including personal instructions for treatments and end-of-life care.

This document template provides a New York resident with the ability to appoint a health care agent to make health care decisions and includes instructions for particular treatments, including life-sustaining and end-of-life care, as well as links to a Practice Note for counsel.

This template provides a Disclosure Statement for health care organizations to use to screen and vet vendors of medical products and supplies for conflicts of interest, based on federal law and requirements applicable to federal health care program participants.

This online document is a template policy for emergency medical care that meets the requirements of the Emergency Medical Treatment and Labor Act (EMTALA) and the Affordable Care Act (ACA), with potential additional requirements based on state or local law.

This document provides a template for a Financial Assistance Policy containing the Internal Revenue Service (IRS) requirements for non-profit hospitals, with potential additional state or local law requirements to be integrated.

This template provides a plain language summary of financial assistance and charity care programs for non-profit hospitals, based on federal requirements and potentially supplemented by state or local law.

This online document is an informed consent template for a patient to access an investigational drug, meeting FDA requirements and industry standards.

This document template creates an instruction directive (living will) in New Jersey, allowing individuals to state their preferences for medical treatment, particularly in regards to end-of-life decisions.

This document template creates a living will in Florida, providing individuals with the ability to make end-of-life decisions and containing links to a Practice Note for counsel.

This document template enables individuals to make end-of-life decisions in the event of a terminal illness.

This document template creates a living will in New York, allowing individuals to state preferences for medical treatment and end-of-life decisions, with links to a Practice Note for counsel.

This document template allows a Kentucky resident to appoint a health care surrogate to make health care decisions in the event of incapacitation, as well as to direct the giving of their body for authorized purposes under Kentucky law.

This template allows individuals in Connecticut to express their wishes for end-of-life care and appoint a health care representative to make decisions on their behalf, with HIPAA release language included.

This online document is a medical power of attorney template which allows an individual to appoint an agent to make health care decisions in the event of incapacitation, with the option to provide instructions or limit the agent's decision making authority.

This template provides an individual with a combined medical power of attorney and living will, with integrated notes and drafting tips.

This online document is a Medical Record Documentation Policy template based on federal law, which can be adapted to meet additional state laws and regulations.

This online document is an annual conflict of interest disclosure statement for physician members of a hospital medical staff, which requests information about potential conflicts of interest and requires an attestation of truthfulness.

This template is an addendum to a managed care contract between an MCO and a provider, including provisions required by CMS for Medicare Advantage patients.

This online document is a template for a Medicare compliance plan for MAOs and PDPs, based on federal law and CMS guidance.

This document provides a template for MAOs and PDPs to follow when delegating responsibility to FDRs to ensure Medicare compliance.

This document template allows a Michigan resident to designate a patient advocate to make health care decisions and receive protected health care information, with the option to include personal instructions regarding specific health care treatments.

This online document is a template for a contract setting out the terms and conditions for full-time employment of a physician, taking into account the Stark Law and Anti-Kickback Statute (AKS) regulations, including the 2020 revisions.

This policy template provides a comprehensive approach for health care organizations to develop, document, approve, implement, update, retain, and evaluate policies that are compliant with legal, compliance, and licensure requirements, and reflect the organization's mission and standards.

This policy provides guidance to institutional health care providers on managing legal risks associated with physician-owned distributors (PODs) or other vendor entities financially connected to physicians.

This document template allows a Wisconsin resident to appoint an agent to make health care decisions, including personal instructions regarding treatments and end-of-life care.

This document template allows a Nebraska resident to appoint a health care agent to make health care decisions and receive health care information on their behalf, with the option to include instructions regarding specific health care treatments.

This document template allows a Washington resident to grant an agent the authority to make health care decisions on their behalf, with the option to provide instructions or limit the agent's decision-making power.

This Standard Clause provides an outline template for healthcare companies to ensure compliance with data privacy and security laws when included in underwriting contracts in a registered securities offering, with integrated notes and drafting tips.

This paragraph outlines the procedures for a group health plan to determine if a medical child support order is qualified (QMCSO).

This template provides a qualified protective order for use in federal district court litigation to ensure compliance with HIPAA regulations regarding the disclosure of PHI.

This document allows a North Carolina resident to appoint a health care agent to make health care decisions, including personal instructions for treatments.

This SAR provides a simplified financial statement of the plan and informs participants of their rights to receive additional plan information, in accordance with ERISA.

This template provides health care providers and facilities with a disclosure notice to provide to patients as required under the No Surprises Act, based on federal requirements and potentially additional state law requirements.

This will provides for an outright distribution of the testator's estate to the surviving spouse or partner if they are survived, and a distribution of the estate in separate equal shares to the testator's surviving children or more remote descendants if not.

This will provides for the distribution of an unmarried individual's estate in New Jersey to their surviving children or more remote issue in a testamentary trust, creating a pot trust for the youngest child and then dividing the assets into separate shares.