Health Insurance Authorization and Compliance Form

Health Insurance Authorization and Compliance Form app is for individuals to provide personal information on demand. Fill in the form and provide it to specialists to release your private information and allow medical establishments to access and use it.

This app can be 100% customized to meet your personal needs by Snappii.

Health Insurance Authorization and Compliance Form app consists of the form that collects the following information:

- Contact information
- Name and date of birth
- Address
- Social security number
- Medical records to be released
- Digital signature
- Etc.

With the help of Health Insurance Authorization and Compliance Form app individuals can:

- Provide their contact information
- Indicate what medical records can be shared
- Authorize medical establishments to use their personal information
- Save completed forms on a device
- Edit and re-send records
- Sync finished forms across multiple devices
- Share PDF and Excel reports
- Create profile to auto-fill a part of the form
- Work offline
- Save created reports to cloud drives to share and access from desktop
- Print PDF/Excel reports out

By downloading, you agree to the Terms of Use at https://www.snappii.com/policy

In addition to using free Health Insurance Authorization and Compliance Form App version you can get unlimited number of form submissions by subscribing via an optional In-App Purchase and remove all ads by purchasing onetime fee. Subscribe from your device and access these services via mobile app.

In-App Subscription Details:
• Ad Removal is $0.99 US dollars one-time fee
• Monthly Unlimited Form Submission Subscription to get is $4.99 US dollars per month
• Annual Unlimited Form Submission Subscription to get is $49.99 US dollars per year
• Payment will be charged to Account at confirmation of purchase
• No cancellation of the current subscription is allowed during active subscription period
• Account will be charged for renewal automatically